ALEXA EVIE NACEANCENO Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007574

License Status

INACTIVE

Business

First Name

ALEXA

Middle

EVIE

Last Name

NACEANCENO

Business Name

ALEXA EVIE NACEANCENO

Original Issue Date

02/24/2020

Effective Date

12/30/2023

Expiration Date

03/01/2026

City

ARNOLD

State

Zip

63010

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/15/2026