ALICE BUDIMAN EGGLESTON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007928

License Status

ACTIVE

Business

First Name

ALICE

Middle

BUDIMAN

Last Name

EGGLESTON

Business Name

ALICE BUDIMAN EGGLESTON

Original Issue Date

09/05/2020

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

01/05/2026