JENNIFER REBECCA DARLAK PA-C Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001959

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

REBECCA

Last Name

DARLAK

Suffix

PA-C

Business Name

JENNIFER REBECCA DARLAK PA-C

Original Issue Date

12/24/2002

Effective Date

12/24/2002

Expiration Date

03/01/2004

City

CLARENCE CENTER

State

Zip

14032

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006