BELSIS MATILDE RODRIGUEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009759

License Status

ACTIVE

Business

First Name

BELSIS

Middle

MATILDE

Last Name

RODRIGUEZ

Business Name

BELSIS MATILDE RODRIGUEZ

Original Issue Date

07/05/2023

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

PARSIPPANY

State

Zip

07054

Ever Disciplined

LastModifiedDate

01/05/2026