ANTOINETTE M POLITO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006577

License Status

NOT RENEWED

Business

First Name

ANTOINETTE

Middle

Last Name

POLITO

Business Name

ANTOINETTE M POLITO

Original Issue Date

04/25/2018

Effective Date

02/25/2020

Expiration Date

03/01/2022

City

DURHAM

State

Zip

27704

County

INDIANA

Ever Disciplined

LastModifiedDate

07/27/2022