STEPHANIE ROMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011105

License Status

ACTIVE

Business

First Name

STEPHANIE

Last Name

ROMAN

Business Name

STEPHANIE ROMAN

Original Issue Date

02/07/2025

Effective Date

02/07/2025

Expiration Date

03/01/2026

City

NORWALK

State

Zip

50211

Ever Disciplined

LastModifiedDate

12/03/2025