VANESSA MARIE STULTS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

ACTIVE

Business

First Name

VANESSA

Middle

MARIE

Last Name

STULTS

Business Name

VANESSA MARIE STULTS

Original Issue Date

06/05/2008

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/20/2026