SEAN PATRICK ALONZA BANNISTER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011454

License Status

ACTIVE

Business

First Name

SEAN

Middle

PATRICK ALONZA

Last Name

BANNISTER

Business Name

SEAN PATRICK ALONZA BANNISTER

Original Issue Date

07/24/2025

Effective Date

07/24/2025

Expiration Date

03/01/2026

City

DAVIE

State

Zip

33328

Ever Disciplined

LastModifiedDate

12/03/2025