HALEY C MEDVICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003580

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

Last Name

MEDVICK

Business Name

HALEY C MEDVICK

Original Issue Date

09/14/2009

Effective Date

03/07/2012

Expiration Date

03/01/2014

City

SAINT LOUIS

State

Zip

63116

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/08/2014