GERALDINE LISE PROPHETE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011870

License Status

ACTIVE

Business

First Name

GERALDINE

Middle

LISE

Last Name

PROPHETE

Business Name

GERALDINE LISE PROPHETE

Original Issue Date

11/05/2025

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

CHESTERFIELD

State

Zip

63017

Ever Disciplined

LastModifiedDate

02/23/2026