ELLYSSA B CHINNASWAMY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007285

License Status

NOT RENEWED

Business

First Name

ELLYSSA

Middle

Last Name

CHINNASWAMY

Business Name

ELLYSSA B CHINNASWAMY

Original Issue Date

09/18/2019

Effective Date

09/18/2019

Expiration Date

03/01/2020

City

VENICE

State

Zip

34285

Ever Disciplined

LastModifiedDate

11/24/2020