MARCELLE A BULLARD - Physician Assistant License in Illinois | # 085002401

MARCELLE A BULLARD

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002401

License Status

NOT RENEWED

Business

N

First Name

MARCELLE

Middle

A

Last Name

BULLARD

Business Name

MARCELLE A BULLARD

Original Issue Date

10/29/2004

Effective Date

02/27/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2025