MICHELLE EDERER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008747

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

EDERER

Business Name

MICHELLE EDERER

Original Issue Date

11/05/2021

Effective Date

03/02/2022

Expiration Date

03/01/2024

City

SKANEATELES

State

Zip

13152

Ever Disciplined

LastModifiedDate

02/05/2025