BROOK ERNESTINE MEDICI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005373

License Status

ACTIVE

Business

First Name

BROOK

Middle

ERNESTINE

Last Name

MEDICI

Business Name

BROOK ERNESTINE MEDICI

Original Issue Date

12/31/2014

Effective Date

12/09/2023

Expiration Date

03/01/2026

City

WINTER GARDEN

State

Zip

34787

Ever Disciplined

LastModifiedDate

12/03/2025