MAXINE CYPRIEN BELFORT - Physician Assistant License in New York | # 085007815

MAXINE CYPRIEN BELFORT

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007815

License Status

NOT RENEWED

Business

N

First Name

MAXINE

Middle

CYPRIEN

Last Name

BELFORT

Business Name

MAXINE CYPRIEN BELFORT

Original Issue Date

07/07/2020

Effective Date

07/07/2020

Expiration Date

03/01/2022

State

NY

Ever Disciplined

N

LastModifiedDate

07/27/2022