DAVID A CRACCHIOLO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000772

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

CRACCHIOLO

Business Name

DAVID A CRACCHIOLO

Original Issue Date

02/07/1996

Effective Date

02/07/1996

Expiration Date

03/01/2002

City

OFALLON

State

Zip

63366

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006