MELLANIE SLAVICH MERRIT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004242

License Status

NOT RENEWED

Business

First Name

MELLANIE

Middle

SLAVICH

Last Name

MERRIT

Business Name

MELLANIE SLAVICH MERRIT

Original Issue Date

11/02/2011

Effective Date

02/06/2012

Expiration Date

03/01/2014

City

NEW ORLEANS

State

Zip

70122

Ever Disciplined

LastModifiedDate

03/16/2015