EVELYN A SDRULLA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004093

License Status

NOT RENEWED

Business

First Name

EVELYN

Middle

Last Name

SDRULLA

Business Name

EVELYN A SDRULLA

Original Issue Date

07/28/2011

Effective Date

03/05/2012

Expiration Date

03/01/2014

City

BALLWIN

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/08/2014