JACK GLENN HUGULEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003674

License Status

NOT RENEWED

Business

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

City

CITRUS HEIGHTS

State

Zip

95621

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/11/2012