FARNAAZ PRAKASH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005563

License Status

NOT RENEWED

Business

First Name

FARNAAZ

Last Name

PRAKASH

Business Name

FARNAAZ PRAKASH

Original Issue Date

07/16/2015

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

ORLANDO

State

Zip

32824

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/24/2020