EVELYN A SDRULLA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

NOT RENEWED

Business

First Name

EVELYN

Middle

Last Name

SDRULLA

Business Name

EVELYN A SDRULLA

Original Issue Date

07/28/2011

Effective Date

03/05/2012

Expiration Date

03/01/2014

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

04/08/2014