THIAGO CANHOLATO QUEIROZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011012

License Status

ACTIVE

Business

First Name

THIAGO

Middle

CANHOLATO

Last Name

QUEIROZ

Business Name

THIAGO CANHOLATO QUEIROZ

Original Issue Date

12/04/2024

Effective Date

12/04/2024

Expiration Date

03/01/2026

City

WILTON MANORS

State

Zip

33311

Ever Disciplined

LastModifiedDate

12/03/2025