ASPASIA MANETTAS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008306

License Status

NOT RENEWED

Business

First Name

ASPASIA

Last Name

MANETTAS

Business Name

ASPASIA MANETTAS

Original Issue Date

05/23/2021

Effective Date

05/23/2021

Expiration Date

03/01/2022

City

NEW YORK

State

Zip

10029

Ever Disciplined

LastModifiedDate

07/27/2022