ANTHONY JOHN PALAZZO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003964

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

JOHN

Last Name

PALAZZO

Business Name

ANTHONY JOHN PALAZZO

Original Issue Date

12/02/2010

Effective Date

12/02/2010

Expiration Date

03/01/2012

City

APPLING

State

Zip

30802

County

GEORGIA

Ever Disciplined

LastModifiedDate

04/11/2012