MICHAEL ANTHONY CRACCHIOLO Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000579

License Status

INACTIVE

Business

First Name

MICHAEL ANTHONY

Last Name

CRACCHIOLO

Business Name

MICHAEL ANTHONY CRACCHIOLO

Original Issue Date

01/14/1994

Effective Date

01/14/1994

Expiration Date

03/01/2006

City

PACIFIC

State

Zip

63069

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006