MARY LOWERY KUTHY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000209

License Status

NOT RENEWED

Business

First Name

MARY LOWERY

Last Name

KUTHY

Business Name

MARY LOWERY KUTHY

Original Issue Date

08/20/1980

Effective Date

08/20/1980

Expiration Date

03/01/1986

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/26/2006