KELLY ANN LUEDERS Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002559

License Status

INACTIVE

Business

First Name

KELLY

Middle

ANN

Last Name

LUEDERS

Business Name

KELLY ANN LUEDERS

Original Issue Date

09/06/2005

Effective Date

09/06/2005

Expiration Date

03/01/2008

City

BENTONVILLE

State

Zip

72712

Ever Disciplined

LastModifiedDate

01/24/2008