JUSTO MARTIN CONCEPCION Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005741

License Status

NOT RENEWED

Business

First Name

JUSTO

Middle

MARTIN

Last Name

CONCEPCION

Business Name

JUSTO MARTIN CONCEPCION

Original Issue Date

11/30/2015

Effective Date

02/26/2016

Expiration Date

03/01/2018

City

GLEN OAKS

State

Zip

11004

Ever Disciplined

LastModifiedDate

05/10/2018