NICOLE LYNN BARBARO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002191

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNN

Last Name

BARBARO

Business Name

NICOLE LYNN BARBARO

Original Issue Date

11/14/2003

Effective Date

09/09/2010

Expiration Date

03/01/2012

City

SCOTTSDALE

State

Zip

85257

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/11/2012