ROBERTO ANTONIO MARSICO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005562

License Status

NOT RENEWED

Business

First Name

ROBERTO

Middle

ANTONIO

Last Name

MARSICO

Business Name

ROBERTO ANTONIO MARSICO

Original Issue Date

07/16/2015

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

PHILADELPHIA

State

Zip

19123

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022