GRACE MARY ZINTAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006106

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

MARY

Last Name

ZINTAK

Business Name

GRACE MARY ZINTAK

Original Issue Date

01/17/2017

Effective Date

02/03/2022

Expiration Date

03/01/2024

City

TEMPE

State

Zip

85281

Ever Disciplined

LastModifiedDate

02/05/2025