EMILY CIVERA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008309

License Status

NOT RENEWED

Business

First Name

EMILY

Last Name

CIVERA

Business Name

EMILY CIVERA

Original Issue Date

05/23/2021

Effective Date

05/23/2021

Expiration Date

03/01/2022

City

CORDOVA

State

Zip

38018

Ever Disciplined

LastModifiedDate

07/27/2022