ERIN KATHLEEN MELLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001705

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

KATHLEEN

Last Name

MELLEY

Business Name

ERIN KATHLEEN MELLEY

Original Issue Date

11/19/2001

Effective Date

01/31/2022

Expiration Date

03/01/2024

City

NEW YORK

State

Zip

10003

County

NEW YORK

Ever Disciplined

LastModifiedDate

02/05/2025