License holder summary

JUSTIN THACH is a Physician Assistant licensed to practice in Connecticut. The address on file for JUSTIN THACH is 5717 162ND ST, Queens, FRESH MEADOWS, NY, 11365-1416. This licensed professional license is current. The license was granted 03/22/2013 and expired on 07/31/2013.

Connecticut

Department of Consumer Protection

JUSTIN THACH
Physician Assistant
License number
2885
Date granted
03/22/2013
Date expires
07/31/2013
Class
Physician Assistant
Status
Active
Address
5717 162ND ST, Queens, FRESH MEADOWS, NY, 11365-1416
ctlicensing.org
ID 4315867
LAST UPDATED 2024-03-22 05:29:23 UTC

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