KATHRYN REBECCA SPINGOLA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

INOPERATIVE

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

12/06/2023