ATANAS K KOSTOV MD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000865

License Status

NOT RENEWED

Business

First Name

ATANAS K

Last Name

KOSTOV MD

Business Name

ATANAS K KOSTOV MD

Original Issue Date

01/09/1997

Effective Date

01/30/2020

Expiration Date

03/01/2022

City

HOPEWELL JUNCTION

State

Zip

12533

Ever Disciplined

LastModifiedDate

07/27/2022