MEGHAN E MUCCIGROSSO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006339

License Status

NOT RENEWED

Business

First Name

MEGHAN

Middle

Last Name

MUCCIGROSSO

Business Name

MEGHAN E MUCCIGROSSO

Original Issue Date

09/05/2017

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

MAITLAND

State

Zip

32751

Ever Disciplined

LastModifiedDate

07/27/2022