DENNIS JOHN CONNOLLY JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003041

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

JOHN

Last Name

CONNOLLY

Suffix

Business Name

DENNIS JOHN CONNOLLY JR

Original Issue Date

09/14/2007

Effective Date

04/26/2016

Expiration Date

03/01/2018

City

BALTIMORE

State

Zip

21224

Ever Disciplined

LastModifiedDate

05/10/2018