ANTHONY JIMENEZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008246

License Status

NOT RENEWED

Business

First Name

ANTHONY

Last Name

JIMENEZ

Business Name

ANTHONY JIMENEZ

Original Issue Date

03/23/2021

Effective Date

03/23/2021

Expiration Date

03/01/2022

City

ST. PETE BEACH

State

Zip

33706

Ever Disciplined

LastModifiedDate

07/27/2022