ALICIA KAY LADUKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

KAY

Last Name

LADUKE

Business Name

ALICIA KAY LADUKE

Original Issue Date

11/10/2016

Effective Date

11/10/2016

Expiration Date

03/01/2018

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2018