MARJORIE ANN NAGLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003764

License Status

NOT RENEWED

Business

First Name

MARJORIE

Middle

ANN

Last Name

NAGLE

Business Name

MARJORIE ANN NAGLE

Original Issue Date

06/22/2010

Effective Date

02/02/2012

Expiration Date

03/01/2014

City

LONG ISLAND CITY

State

Zip

11109

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/08/2014