MICHELLE LEIGH DYBALA PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001866

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

LEIGH

Last Name

DYBALA

Suffix

PA-C

Business Name

MICHELLE LEIGH DYBALA PA-C

Original Issue Date

09/11/2002

Effective Date

09/11/2002

Expiration Date

03/01/2004

City

NORTH KINGSTOWN

State

Zip

02852

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006