JACK GLENN HUGULEY - Physician Assistant License in California | # 085003674

JACK GLENN HUGULEY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003674

License Status

NOT RENEWED

Business

N

First Name

JACK

Middle

GLENN

Last Name

HUGULEY

Business Name

JACK GLENN HUGULEY

Original Issue Date

12/18/2009

Effective Date

12/18/2009

Expiration Date

03/01/2012

State

CA

Ever Disciplined

N

LastModifiedDate

04/11/2012