ELLA MARIE CALLISON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003797

License Status

NOT RENEWED

Business

First Name

ELLA

Middle

MARIE

Last Name

CALLISON

Business Name

ELLA MARIE CALLISON

Original Issue Date

07/15/2010

Effective Date

02/27/2012

Expiration Date

03/01/2014

City

KIRKSVILLE

State

Zip

63501

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/08/2014