MARYSTELLA ANIDI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011311

License Status

ACTIVE

Business

First Name

MARYSTELLA

Last Name

ANIDI

Business Name

MARYSTELLA ANIDI

Original Issue Date

06/27/2025

Effective Date

06/27/2025

Expiration Date

03/01/2026

City

WARSAW

State

Zip

46580

Ever Disciplined

LastModifiedDate

12/03/2025