LAUREL ANNE DELORME Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005420

License Status

NOT RENEWED

Business

First Name

LAUREL

Middle

ANNE

Last Name

DELORME

Business Name

LAUREL ANNE DELORME

Original Issue Date

02/24/2015

Effective Date

04/14/2016

Expiration Date

03/01/2018

City

CHITTENANGO

State

Zip

13037

County

NEW YORK

Ever Disciplined

LastModifiedDate

05/10/2018