ELIZABETH CAPASSO-GULVE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Last Name

CAPASSO-GULVE

Business Name

ELIZABETH CAPASSO-GULVE

Original Issue Date

06/21/2005

Effective Date

03/02/2018

Expiration Date

03/01/2020

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/24/2020