JACQUELINE SOVA CASTAGNO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004624

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

SOVA

Last Name

CASTAGNO

Business Name

JACQUELINE SOVA CASTAGNO

Original Issue Date

03/01/2013

Effective Date

01/28/2014

Expiration Date

03/01/2016

City

SAINT LOUIS

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

08/08/2016