License holder summary

STACEY FORNAROTTO is a Physician Assistant licensed to practice in New Jersey. This licensed professional license is current. The license was granted 07/12/1996 and expired on 08/31/2015.

New Jersey

Division of Consumer Affairs

STACEY FORNAROTTO
Physician Assistant
License number
25MP00020000
Date granted
07/12/1996
Date expires
08/31/2015
Class
Physician Assistant
Status
Active
licensingnj.com
ID 9701839
LAST UPDATED 2026-08-26 14:39:40 UTC

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