MARY KIMBERLY DUGANDZIC Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010168

License Status

ACTIVE

Business

First Name

MARY

Middle

KIMBERLY

Last Name

DUGANDZIC

Business Name

MARY KIMBERLY DUGANDZIC

Original Issue Date

11/02/2023

Effective Date

03/25/2026

Expiration Date

03/01/2028

City

BLAUVELT

State

Zip

10913

Ever Disciplined

LastModifiedDate

03/25/2026