MICHELLE AYA FUKUDA - Physician Assistant License in New Jersey | # 085011874

MICHELLE AYA FUKUDA

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011874

License Status

ACTIVE

Business

N

First Name

MICHELLE

Middle

AYA

Last Name

FUKUDA

Business Name

MICHELLE AYA FUKUDA

Original Issue Date

11/06/2025

Effective Date

01/15/2026

Expiration Date

03/01/2028

State

NJ

Ever Disciplined

N

LastModifiedDate

04/06/2026