MARCELLE A BULLARD 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

MARCELLE

Middle

Last Name

BULLARD

Business Name

MARCELLE A BULLARD

Original Issue Date

01/05/2005

Effective Date

02/27/2014

Expiration Date

03/01/2016

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/22/2014