MARIE C FREISE Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001991

License Status

INACTIVE

Business

First Name

MARIE

Middle

Last Name

FREISE

Business Name

MARIE C FREISE

Original Issue Date

02/24/2003

Effective Date

02/24/2003

Expiration Date

03/01/2004

City

ST CHARLES

State

Zip

63301

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006