RUSSELL A SZTUKOWSKI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007314

License Status

ACTIVE

Business

First Name

RUSSELL

Middle

Last Name

SZTUKOWSKI

Business Name

RUSSELL A SZTUKOWSKI

Original Issue Date

09/27/2019

Effective Date

03/21/2024

Expiration Date

03/01/2026

City

ST LOUIS

State

Zip

63136

Ever Disciplined

LastModifiedDate

12/03/2025