License holder summary

Edgardo Tan Derosas is a Physician Assistants - Physician Assistant licensed to practice in Massachusetts. The address on file for Edgardo Tan Derosas is United States, Brooklyn 112356217. This licensed professional license is not current. The license was granted 01/29/1999 and expired on 03/01/2003.

Massachusetts

Division of Professional Licensure

Edgardo Tan Derosas
Physician Assistants - Physician Assistant
License number
PA994
Date granted
01/29/1999
Date expires
03/01/2003
Class
Physician Assistants - Physician Assistant
Status
Expired
Address
United States
licensingma.org
ID 38231579
LAST UPDATED 2024-05-09 04:14:03 UTC

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