KATHERINE MARIE PUDLOWSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002181

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

MARIE

Last Name

PUDLOWSKI

Business Name

KATHERINE MARIE PUDLOWSKI

Original Issue Date

11/05/2003

Effective Date

11/05/2003

Expiration Date

03/01/2006

City

SAINT LOUIS

State

Zip

63127

Ever Disciplined

LastModifiedDate

10/09/2006