JOSIE ZUCKERMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

NOT RENEWED

Business

First Name

JOSIE

Last Name

ZUCKERMAN

Business Name

JOSIE ZUCKERMAN

Original Issue Date

04/16/2001

Effective Date

04/16/2001

Expiration Date

03/01/2002

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006