SUSAN J AMEISS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005841

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

AMEISS

Business Name

SUSAN J AMEISS

Original Issue Date

06/15/2016

Effective Date

02/05/2020

Expiration Date

03/01/2022

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

07/27/2022