MELINDA GANIO JIMENEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011013

License Status

ACTIVE

Business

First Name

MELINDA

Middle

GANIO

Last Name

JIMENEZ

Business Name

MELINDA GANIO JIMENEZ

Original Issue Date

12/04/2024

Effective Date

12/04/2024

Expiration Date

03/01/2026

City

BUFFALO

State

Zip

14204

Ever Disciplined

LastModifiedDate

12/03/2025