JOHN MARSHALL MAGNER II MD Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000429

License Status

CANCELLED

Business

Title

First Name

JOHN

Middle

MARSHALL

Last Name

MAGNER

Suffix

Business Name

JOHN MARSHALL MAGNER II MD

Original Issue Date

01/25/1991

Effective Date

01/25/1991

Expiration Date

03/01/1994

City

SAINT LOUIS

State

Zip

63119

Ever Disciplined

LastModifiedDate

11/04/2010