DOMINIKA VICTORIA DEPALMA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006613

License Status

NOT RENEWED

Business

First Name

DOMINIKA

Middle

VICTORIA

Last Name

DEPALMA

Business Name

DOMINIKA VICTORIA DEPALMA

Original Issue Date

07/05/2018

Effective Date

07/05/2018

Expiration Date

03/01/2020

City

FRANKLIN PARK

State

Zip

08823

Ever Disciplined

LastModifiedDate

11/24/2020