MICHELLE LEIGH DYBALA PA-C - Physician Assistant License in Rhode Island | # 085001866

MICHELLE LEIGH DYBALA PA-C

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001866

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

LEIGH

Last Name

DYBALA

Suffix

PA-C

Business Name

MICHELLE LEIGH DYBALA PA-C

Original Issue Date

09/11/2002

Effective Date

09/11/2002

Expiration Date

03/01/2004

State

RI

Ever Disciplined

N

LastModifiedDate

10/09/2006