ABIGAIL PEARL JEBARATNAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008111

License Status

NOT RENEWED

Business

First Name

ABIGAIL

Middle

PEARL

Last Name

JEBARATNAM

Business Name

ABIGAIL PEARL JEBARATNAM

Original Issue Date

12/16/2020

Effective Date

12/16/2020

Expiration Date

03/01/2022

City

ORCHARD PARK

State

Zip

14127

Ever Disciplined

LastModifiedDate

07/27/2022