DANEIL SON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010402

License Status

ACTIVE

Business

First Name

DANEIL

Last Name

SON

Business Name

DANEIL SON

Original Issue Date

02/29/2024

Effective Date

02/29/2024

Expiration Date

03/01/2026

City

HARRISON

State

Zip

10528

Ever Disciplined

LastModifiedDate

12/03/2025