TIMOTHY JOHN CRISCUOLO - Physician Assistant License in Washington | # 085006618

TIMOTHY JOHN CRISCUOLO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006618

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

JOHN

Last Name

CRISCUOLO

Business Name

TIMOTHY JOHN CRISCUOLO

Original Issue Date

07/09/2018

Effective Date

07/09/2018

Expiration Date

03/01/2020

State

WA

Ever Disciplined

N

LastModifiedDate

11/24/2020