ALRIA DELACRUZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008377

License Status

NOT RENEWED

Business

First Name

ALRIA

Last Name

DELACRUZ

Business Name

ALRIA DELACRUZ

Original Issue Date

06/17/2021

Effective Date

06/17/2021

Expiration Date

03/01/2022

City

BOSSIER CITY

State

Zip

71111

Ever Disciplined

LastModifiedDate

07/27/2022