KATHERINE SUSAN ONEILL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007648

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

SUSAN

Last Name

ONEILL

Business Name

KATHERINE SUSAN ONEILL

Original Issue Date

05/08/2020

Effective Date

05/08/2020

Expiration Date

03/01/2022

City

REVERE

State

Zip

02151

Ever Disciplined

LastModifiedDate

07/27/2022