ELLEN DE LEON BARNETT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001377

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

DE LEON

Last Name

BARNETT

Business Name

ELLEN DE LEON BARNETT

Original Issue Date

04/24/2000

Effective Date

04/24/2000

Expiration Date

03/01/2006

City

CLARKSON VALLEY

State

Zip

63005

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006