MELISSA ANN SPENCER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001510

License Status

INACTIVE

Business

First Name

MELISSA

Middle

ANN

Last Name

SPENCER

Business Name

MELISSA ANN SPENCER

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

03/01/2002

City

BUFFALO

State

Zip

14222

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006