ANGELA R GENISIO
Physician Assistant Controlled Substance(Delegated Schedules )
Illinois 385003099 Inoperative
This Illinois license was held by ANGELA R GENISIO. The license is no longer active. It was granted on 04/25/2012 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 385003099
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE(Delegated Schedules )
- Status: Inoperative
- Date Granted: 04/25/2012 (about 12 years ago)
- Expiry Date: 03/01/2016 (about 8 years ago)
LOCATIONS
A Address
Saint Charles, MO 63303-1746