MELISSA DESOUZA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010536

License Status

ACTIVE

Business

First Name

MELISSA

Last Name

DESOUZA

Business Name

MELISSA DESOUZA

Original Issue Date

07/29/2024

Effective Date

07/29/2024

Expiration Date

03/01/2026

City

ELLICOTTVILLE

State

Zip

14731

Ever Disciplined

LastModifiedDate

12/03/2025