MARISA EVE GIRAWONG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004460

License Status

NOT RENEWED

Business

First Name

MARISA

Middle

EVE

Last Name

GIRAWONG

Business Name

MARISA EVE GIRAWONG

Original Issue Date

09/19/2012

Effective Date

09/19/2012

Expiration Date

03/01/2014

City

EDISON

State

Zip

08820

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

04/08/2014