KRISTEN ABBI FREGOSO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006060

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

ABBI

Last Name

FREGOSO

Business Name

KRISTEN ABBI FREGOSO

Original Issue Date

10/19/2016

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

DADE CITY

State

Zip

33525

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/24/2020