LUKE SHOULDERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008513

License Status

NOT RENEWED

Business

First Name

LUKE

Last Name

SHOULDERS

Business Name

LUKE SHOULDERS

Original Issue Date

08/05/2021

Effective Date

09/01/2023

Expiration Date

03/01/2024

City

WILDWOOD

State

Zip

63011

Ever Disciplined

LastModifiedDate

02/05/2025