ADAM GLENN FEIGENBAUM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005006

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

GLENN

Last Name

FEIGENBAUM

Business Name

ADAM GLENN FEIGENBAUM

Original Issue Date

03/19/2014

Effective Date

03/19/2014

Expiration Date

03/01/2016

City

SAINT PETERS

State

Zip

63376

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/25/2016