KELLY ELIZABETH DEMUYNCK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007025

License Status

ACTIVE

Business

First Name

KELLY

Middle

ELIZABETH

Last Name

DEMUYNCK

Business Name

KELLY ELIZABETH DEMUYNCK

Original Issue Date

04/02/2019

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

ORMOND BEACH

State

Zip

32174

Ever Disciplined

LastModifiedDate

12/04/2025