ALICIA KAY LADUKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005443

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

KAY

Last Name

LADUKE

Business Name

ALICIA KAY LADUKE

Original Issue Date

03/11/2015

Effective Date

02/02/2016

Expiration Date

03/01/2018

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2018