GINNY MARIE GREENE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005438

License Status

NOT RENEWED

Business

First Name

GINNY

Middle

MARIE

Last Name

GREENE

Business Name

GINNY MARIE GREENE

Original Issue Date

03/06/2015

Effective Date

02/17/2016

Expiration Date

03/01/2018

City

JAMESTOWN

State

Zip

14701

County

NEW YORK

Ever Disciplined

LastModifiedDate

05/10/2018