ASHLEY PATEL CZUPRYNSKI Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

INOPERATIVE

Business

First Name

ASHLEY

Middle

PATEL

Last Name

CZUPRYNSKI

Business Name

ASHLEY PATEL CZUPRYNSKI

Original Issue Date

09/07/2016

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

12/18/2019