MIA KEHOE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006623

License Status

NOT RENEWED

Business

First Name

MIA

Last Name

KEHOE

Business Name

MIA KEHOE

Original Issue Date

07/11/2018

Effective Date

01/14/2022

Expiration Date

03/01/2024

City

LONG ISLAND CITY

State

Zip

11101

Ever Disciplined

LastModifiedDate

02/05/2025