JACQUELINE M JULTY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000804

License Status

NOT RENEWED

Business

First Name

JACQUELINE M

Last Name

JULTY

Business Name

JACQUELINE M JULTY

Original Issue Date

06/12/1996

Effective Date

06/12/1996

Expiration Date

03/01/1998

City

JERSEY CITY

State

Zip

07302

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/26/2006