ALEXANDRIA NICOLE RUZICKA Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004855

License Status

INACTIVE

Business

First Name

ALEXANDRIA

Middle

NICOLE

Last Name

RUZICKA

Business Name

ALEXANDRIA NICOLE RUZICKA

Original Issue Date

10/03/2013

Effective Date

02/27/2018

Expiration Date

03/01/2020

City

MARYLAND HEIGHTS

State

Zip

63043

Ever Disciplined

LastModifiedDate

12/18/2019