MELISSA SUE STEVENS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003698

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

SUE

Last Name

STEVENS

Business Name

MELISSA SUE STEVENS

Original Issue Date

02/11/2010

Effective Date

04/25/2012

Expiration Date

03/01/2014

City

SAINT LOUIS

State

Zip

63118

Ever Disciplined

LastModifiedDate

01/25/2017