OLGA IAROSSEVITCH
Physician Assistant at Plz Real, Boca Raton, FL

License number
Florida 9104365
Issued Date
Sep 19, 2007
Effective Date
Sep 19, 2007
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Physician Assistant
Address
Address
101 Plaza Real S APT 402, Boca Raton, FL 33432
Phone
(561) 271-4338
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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OLGA IAROSSEVITCH LC

Boca Raton, FL

Registration:
Jan 7, 2014
Addresses:
105 E Palmetto Park Rd SUITE B, Boca Raton, FL 33432 (Physical)
2090 S Conference Dr, Boca Raton, FL 33486
State ID:
L14000002997
Business type:
Florida Limited Liability Company
Managing Members:
Olga Iarossevitch (President), 2090 S Conference Dr, Boca Raton, FL 33486 (Physical),Beauty Medica Llc Managing Member, inactive
Agent:
Iarossevitch, Olga,2090 S Conference Dr, Boca Raton, FL 33486 (Physical)
EIN:
46-4580746

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