CHRISTOPHER MICHAEL FUCCI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002703

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

FUCCI

Business Name

CHRISTOPHER MICHAEL FUCCI

Original Issue Date

03/29/2006

Effective Date

03/29/2006

Expiration Date

03/01/2008

City

PEMBROKE PINES

State

Zip

33024

Ever Disciplined

LastModifiedDate

04/23/2008