MEMOONA MIAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011365

License Status

ACTIVE

Business

First Name

MEMOONA

Last Name

MIAN

Business Name

MEMOONA MIAN

Original Issue Date

07/10/2025

Effective Date

02/01/2026

Expiration Date

03/01/2028

City

MILWAUKEE

State

Zip

53220

Ever Disciplined

LastModifiedDate

02/01/2026