KELLY E CORONA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001860

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

CORONA

Business Name

KELLY E CORONA

Original Issue Date

09/05/2002

Effective Date

03/10/2022

Expiration Date

03/01/2024

City

VENICE

State

Zip

34293

Ever Disciplined

LastModifiedDate

02/05/2025