ALISHA F MALY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002217

License Status

NOT RENEWED

Business

First Name

ALISHA

Middle

Last Name

MALY

Business Name

ALISHA F MALY

Original Issue Date

03/04/2004

Effective Date

03/04/2004

Expiration Date

03/01/2006

City

CLINTON

State

Zip

53525

Ever Disciplined

LastModifiedDate

10/09/2006