LUCIA MARIA KULHAVY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004433

License Status

NOT RENEWED

Business

First Name

LUCIA

Middle

MARIA

Last Name

KULHAVY

Business Name

LUCIA MARIA KULHAVY

Original Issue Date

08/29/2012

Effective Date

08/29/2012

Expiration Date

03/01/2014

City

ROANOKE

State

Zip

24014

County

VIRGINIA

Ever Disciplined

LastModifiedDate

04/08/2014