EMILY MARY PHILIP Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006978

License Status

INACTIVE

Business

First Name

EMILY

Middle

MARY

Last Name

PHILIP

Business Name

EMILY MARY PHILIP

Original Issue Date

03/12/2019

Effective Date

01/22/2020

Expiration Date

03/01/2022

City

NEW CITY

State

Zip

10956

Ever Disciplined

LastModifiedDate

01/03/2022