DOMINIKA VICTORIA DEPALMA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010660

License Status

ACTIVE

Business

First Name

DOMINIKA

Middle

VICTORIA

Last Name

DEPALMA

Business Name

DOMINIKA VICTORIA DEPALMA

Original Issue Date

08/27/2024

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

MAPLEWOOD

State

Zip

07040

Ever Disciplined

LastModifiedDate

01/15/2026