PATRICK MICHAEL TULLIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005284

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

MICHAEL

Last Name

TULLIS

Business Name

PATRICK MICHAEL TULLIS

Original Issue Date

10/02/2014

Effective Date

07/05/2016

Expiration Date

03/01/2018

City

LEXINGTON

State

Zip

40509

County

FAYETTE

Ever Disciplined

LastModifiedDate

05/10/2018