REBECKA JEAN LONGE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009137

License Status

NOT RENEWED

Business

First Name

REBECKA

Middle

JEAN

Last Name

LONGE

Business Name

REBECKA JEAN LONGE

Original Issue Date

07/28/2022

Effective Date

07/28/2022

Expiration Date

03/01/2024

City

MEDINA

State

Zip

55340

Ever Disciplined

LastModifiedDate

02/05/2025