REGINA J ROCZNIAK Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000346

License Status

INACTIVE

Business

First Name

REGINA J

Last Name

ROCZNIAK

Business Name

REGINA J ROCZNIAK

Original Issue Date

01/16/1988

Effective Date

01/16/1988

Expiration Date

03/01/1992

City

HUNTINGTON

State

Zip

06484

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/26/2006