ADRIA K BRZENK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004896

License Status

NOT RENEWED

Business

First Name

ADRIA

Middle

Last Name

BRZENK

Business Name

ADRIA K BRZENK

Original Issue Date

10/16/2013

Effective Date

10/16/2013

Expiration Date

03/01/2014

City

ASTORIA

State

Zip

11105

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/08/2014