MARIYKA K KOSTOVA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001650

License Status

NOT RENEWED

Business

First Name

MARIYKA

Middle

Last Name

KOSTOVA

Business Name

MARIYKA K KOSTOVA

Original Issue Date

10/26/2001

Effective Date

01/30/2020

Expiration Date

03/01/2022

City

HOPEWELL JUNCTION

State

Zip

12533

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/27/2022