MARY ELIZABETH MOENICH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005738

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELIZABETH

Last Name

MOENICH

Business Name

MARY ELIZABETH MOENICH

Original Issue Date

11/23/2015

Effective Date

11/23/2015

Expiration Date

03/01/2016

City

PARMA

State

Zip

44134

County

OHIO

Ever Disciplined

LastModifiedDate

04/25/2016