ANGELA R GENISIO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004301

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

GENISIO

Business Name

ANGELA R GENISIO

Original Issue Date

03/26/2012

Effective Date

01/11/2022

Expiration Date

03/01/2024

City

SAINT LOUIS

State

Zip

63109

Ever Disciplined

LastModifiedDate

02/05/2025