JOSHUA PAUL BRANHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003867

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

PAUL

Last Name

BRANHAM

Business Name

JOSHUA PAUL BRANHAM

Original Issue Date

09/16/2010

Effective Date

02/14/2017

Expiration Date

03/01/2018

City

LONG ISLAND CITY

State

Zip

11109

Ever Disciplined

LastModifiedDate

05/10/2018