STEPHANIE M MAZAL Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004013

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

MAZAL

Business Name

STEPHANIE M MAZAL

Original Issue Date

03/21/2011

Effective Date

03/21/2011

Expiration Date

03/01/2012

City

SEBRING

State

Zip

33872

County

FLORIDA

Ever Disciplined

LastModifiedDate

12/07/2011