ALANA NICOLE BULLA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****07

License Status

INOPERATIVE

Business

First Name

ALANA

Middle

NICOLE

Last Name

BULLA

Business Name

ALANA NICOLE BULLA

Original Issue Date

04/27/2016

Effective Date

05/09/2016

Expiration Date

03/01/2018

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018