ANGELICA MARTIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007671

License Status

ACTIVE

Business

First Name

ANGELICA

Last Name

MARTIN

Business Name

ANGELICA MARTIN

Original Issue Date

05/27/2020

Effective Date

02/28/2024

Expiration Date

03/01/2026

City

BALDWINSVILLE

State

Zip

13027

Ever Disciplined

LastModifiedDate

12/03/2025