LAURA BLUM KISSANE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011401

License Status

ACTIVE

Business

First Name

LAURA

Middle

BLUM

Last Name

KISSANE

Business Name

LAURA BLUM KISSANE

Original Issue Date

07/15/2025

Effective Date

02/13/2026

Expiration Date

03/01/2028

City

WORCESTER

State

Zip

01609

Ever Disciplined

LastModifiedDate

03/01/2026