EVANGELINE ROSE ROBERTSHAW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010895

License Status

ACTIVE

Business

First Name

EVANGELINE

Middle

ROSE

Last Name

ROBERTSHAW

Business Name

EVANGELINE ROSE ROBERTSHAW

Original Issue Date

10/07/2024

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

SOUTH PARK

State

Zip

15129

Ever Disciplined

LastModifiedDate

01/20/2026