LINA MICHELLE WEBER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007836

License Status

NOT RENEWED

Business

First Name

LINA

Middle

MICHELLE

Last Name

WEBER

Business Name

LINA MICHELLE WEBER

Original Issue Date

07/13/2020

Effective Date

02/12/2022

Expiration Date

03/01/2024

City

NEW YORK

State

Zip

10036

Ever Disciplined

LastModifiedDate

02/05/2025