KATHRYN REBECCA SPINGOLA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006072

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

REBECCA

Last Name

SPINGOLA

Business Name

KATHRYN REBECCA SPINGOLA

Original Issue Date

10/26/2016

Effective Date

01/07/2022

Expiration Date

03/01/2024

City

FAIRFAX

State

Zip

22030

Ever Disciplined

LastModifiedDate

02/05/2025