AARON WILLIAM LONGALE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008063

License Status

NOT RENEWED

Business

First Name

AARON

Middle

WILLIAM

Last Name

LONGALE

Business Name

AARON WILLIAM LONGALE

Original Issue Date

11/04/2020

Effective Date

11/04/2020

Expiration Date

03/01/2022

City

SCHERERVILLE

State

Zip

46375

Ever Disciplined

LastModifiedDate

07/27/2022