MATTHEW JAMES ZAGULA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005228

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

JAMES

Last Name

ZAGULA

Business Name

MATTHEW JAMES ZAGULA

Original Issue Date

09/16/2014

Effective Date

03/18/2016

Expiration Date

03/01/2018

City

FARMINGTON

State

Zip

87401

Ever Disciplined

LastModifiedDate

05/10/2018