JANELLE N GOODREAU Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004095

License Status

NOT RENEWED

Business

First Name

JANELLE

Middle

Last Name

GOODREAU

Business Name

JANELLE N GOODREAU

Original Issue Date

07/28/2011

Effective Date

04/30/2012

Expiration Date

03/01/2014

City

MARQUETTE

State

Zip

49855

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/08/2014