JEFFREY P MENGELING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003722

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

MENGELING

Business Name

JEFFREY P MENGELING

Original Issue Date

04/14/2010

Effective Date

04/14/2010

Expiration Date

03/01/2012

City

WENATCHEE

State

Zip

98801

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

04/11/2012