PAUL ANDREW LUTZ JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000774

License Status

NOT RENEWED

Business

First Name

PAUL ANDREW

Last Name

LUTZ JR

Business Name

PAUL ANDREW LUTZ JR

Original Issue Date

02/09/1996

Effective Date

02/09/1996

Expiration Date

03/01/2000

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/26/2006