ANNA R CULLOTTA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003028

License Status

ACTIVE

Business

First Name

ANNA

Middle

Last Name

CULLOTTA

Business Name

ANNA R CULLOTTA

Original Issue Date

09/04/2007

Effective Date

03/23/2024

Expiration Date

03/01/2026

City

ST JOHN

State

Zip

46373

Ever Disciplined

LastModifiedDate

03/26/2026