STEPHANIE LEANNE YNIGUEZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005804

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

LEANNE

Last Name

YNIGUEZ

Business Name

STEPHANIE LEANNE YNIGUEZ

Original Issue Date

03/30/2016

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

SAINT LOUIS

State

Zip

63139

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/24/2020