RUSSELL A SZTUKOWSKI Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

INOPERATIVE

Business

First Name

RUSSELL

Middle

Last Name

SZTUKOWSKI

Business Name

RUSSELL A SZTUKOWSKI

Original Issue Date

01/17/2020

Effective Date

02/24/2022

Expiration Date

03/01/2024

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

12/06/2023