MIRNA CLERIE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008645

License Status

NOT RENEWED

Business

First Name

MIRNA

Last Name

CLERIE

Business Name

MIRNA CLERIE

Original Issue Date

09/30/2021

Effective Date

02/08/2022

Expiration Date

03/01/2024

City

LYNBROOK

State

Zip

11563

Ever Disciplined

LastModifiedDate

02/05/2025