MARISA EVE GIRAWONG - Physician Assistant License in New Jersey | # 085004460

MARISA EVE GIRAWONG

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004460

License Status

NOT RENEWED

Business

N

First Name

MARISA

Middle

EVE

Last Name

GIRAWONG

Business Name

MARISA EVE GIRAWONG

Original Issue Date

09/19/2012

Effective Date

09/19/2012

Expiration Date

03/01/2014

State

NJ

Ever Disciplined

N

LastModifiedDate

04/08/2014