ALANA NICOLE BULLA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005790

License Status

NOT RENEWED

Business

First Name

ALANA

Middle

NICOLE

Last Name

BULLA

Business Name

ALANA NICOLE BULLA

Original Issue Date

03/08/2016

Effective Date

03/08/2016

Expiration Date

03/01/2018

City

TAMPA

State

Zip

33606

County

FLORIDA

Ever Disciplined

LastModifiedDate

05/10/2018