MONIKA E KRUPSKA-BUCKLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****47

License Status

NOT RENEWED

Business

First Name

MONIKA

Middle

Last Name

KRUPSKA-BUCKLEY

Business Name

MONIKA E KRUPSKA-BUCKLEY

Original Issue Date

11/01/2012

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/10/2018