MARIYKA K KOSTOVA - Physician Assistant License in New York | # 085001650

MARIYKA K KOSTOVA

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001650

License Status

NOT RENEWED

Business

N

First Name

MARIYKA

Middle

K

Last Name

KOSTOVA

Business Name

MARIYKA K KOSTOVA

Original Issue Date

10/26/2001

Effective Date

01/30/2020

Expiration Date

03/01/2022

State

NY

Ever Disciplined

N

LastModifiedDate

07/27/2022