JUDITH MARIE ROSSBACH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

INOPERATIVE

Business

First Name

JUDITH

Middle

MARIE

Last Name

ROSSBACH

Business Name

JUDITH MARIE ROSSBACH

Original Issue Date

08/03/2005

Effective Date

02/28/2018

Expiration Date

03/01/2020

City

TAMPA

State

Zip

33626

County

KANE

Ever Disciplined

LastModifiedDate

02/04/2020