HEIDY CHANNEL FERNANDEZ RUIZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008318

License Status

NOT RENEWED

Business

First Name

HEIDY

Middle

CHANNEL

Last Name

FERNANDEZ RUIZ

Business Name

HEIDY CHANNEL FERNANDEZ RUIZ

Original Issue Date

05/25/2021

Effective Date

03/01/2022

Expiration Date

03/01/2024

City

WEST PALM BEACH

State

Zip

33407

Ever Disciplined

LastModifiedDate

02/05/2025