JILL NICOLE HABURSKY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005248

License Status

NOT RENEWED

Business

First Name

JILL

Middle

NICOLE

Last Name

HABURSKY

Business Name

JILL NICOLE HABURSKY

Original Issue Date

09/23/2014

Effective Date

09/23/2014

Expiration Date

03/01/2016

City

LAKEWOOD

State

Zip

44107

County

OHIO

Ever Disciplined

LastModifiedDate

04/25/2016