DOMINIKA VICTORIA DEPALMA - Physician Assistant License in New Jersey | # 085006613

DOMINIKA VICTORIA DEPALMA

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006613

License Status

NOT RENEWED

Business

N

First Name

DOMINIKA

Middle

VICTORIA

Last Name

DEPALMA

Business Name

DOMINIKA VICTORIA DEPALMA

Original Issue Date

07/05/2018

Effective Date

07/05/2018

Expiration Date

03/01/2020

State

NJ

Ever Disciplined

N

LastModifiedDate

11/24/2020