LAURA THOMETZ PUGLESSI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004751

License Status

NOT RENEWED

Business

First Name

LAURA

Last Name

THOMETZ PUGLESSI

Business Name

LAURA THOMETZ PUGLESSI

Original Issue Date

07/23/2013

Effective Date

03/06/2018

Expiration Date

03/01/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020