SARAH MARIE STASIEWICZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005961

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

MARIE

Last Name

STASIEWICZ

Business Name

SARAH MARIE STASIEWICZ

Original Issue Date

09/01/2016

Effective Date

09/01/2016

Expiration Date

03/01/2018

City

FRANKLIN

State

Zip

53132

Ever Disciplined

LastModifiedDate

05/10/2018