MELISSA ANN SPENCER - Physician Assistant License in New York | # 085001510

MELISSA ANN SPENCER

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001510

License Status

INACTIVE

Business

N

First Name

MELISSA

Middle

ANN

Last Name

SPENCER

Business Name

MELISSA ANN SPENCER

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

03/01/2002

State

NY

Ever Disciplined

N

LastModifiedDate

10/09/2006