LAURA BEATRIZ CORAL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007032

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

BEATRIZ

Last Name

CORAL

Business Name

LAURA BEATRIZ CORAL

Original Issue Date

04/08/2019

Effective Date

02/13/2020

Expiration Date

03/01/2022

City

BOSTON

State

Zip

02118

Ever Disciplined

LastModifiedDate

07/27/2022