FELVA COLLIE LUCK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003593

License Status

NOT RENEWED

Business

First Name

FELVA

Middle

COLLIE

Last Name

LUCK

Business Name

FELVA COLLIE LUCK

Original Issue Date

09/18/2009

Effective Date

03/02/2012

Expiration Date

03/01/2014

City

WOODLAWN

State

Zip

62898

County

JEFFERSON

Ever Disciplined

LastModifiedDate

04/08/2014