GINA MARIE DEIGNAN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003117

License Status

INACTIVE

Business

First Name

GINA

Middle

MARIE

Last Name

DEIGNAN

Business Name

GINA MARIE DEIGNAN

Original Issue Date

10/19/2007

Effective Date

03/05/2012

Expiration Date

03/01/2014

City

CONCORD

State

Zip

01742

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

03/28/2014