MARISSA MARGARET PULTZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008106

License Status

ACTIVE

Business

First Name

MARISSA

Middle

MARGARET

Last Name

PULTZ

Business Name

MARISSA MARGARET PULTZ

Original Issue Date

12/09/2020

Effective Date

02/11/2026

Expiration Date

03/01/2028

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

02/11/2026