ADRIENNE NICOLE ORTMAN - Physician Assistant License in New York | # 085005737

ADRIENNE NICOLE ORTMAN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005737

License Status

NOT RENEWED

Business

N

First Name

ADRIENNE

Middle

NICOLE

Last Name

ORTMAN

Business Name

ADRIENNE NICOLE ORTMAN

Original Issue Date

11/19/2015

Effective Date

11/19/2015

Expiration Date

03/01/2016

State

NY

Ever Disciplined

N

LastModifiedDate

04/25/2016