MELISSA A VAN HOOF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001917

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

VAN HOOF

Business Name

MELISSA A VAN HOOF

Original Issue Date

10/22/2002

Effective Date

01/28/2010

Expiration Date

03/01/2012

City

VICTOR

State

Zip

14564

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/21/2016