Missouri
Division of Professional Registration
Vienhage, Stacy Ann
Physician Assistant
License number
2001029957
Date granted
11/15/2001
Date expires
01/31/2014
Class
Physician Assistant
Status
Clear
licensingmissouri.org
ID 2196005
LAST UPDATED 2026-05-05 00:28:30 UTC
LAST UPDATED 2026-05-05 00:28:30 UTC
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