MELISSA PENNINGTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008155

License Status

NOT RENEWED

Business

First Name

MELISSA

Last Name

PENNINGTON

Business Name

MELISSA PENNINGTON

Original Issue Date

01/25/2021

Effective Date

02/19/2022

Expiration Date

03/01/2024

City

CHESTERFIELD

State

Zip

63017

Ever Disciplined

LastModifiedDate

02/05/2025