CRISTINA ELIZABET HERMOSILLO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010148

License Status

NOT RENEWED

Business

First Name

CRISTINA

Middle

ELIZABET

Last Name

HERMOSILLO

Business Name

CRISTINA ELIZABET HERMOSILLO

Original Issue Date

10/15/2023

Effective Date

10/15/2023

Expiration Date

03/01/2024

City

INDIANAPOLIS

State

Zip

46241

Ever Disciplined

LastModifiedDate

02/05/2025