PETER L STUCKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000575

License Status

NOT RENEWED

Business

First Name

PETER L

Last Name

STUCKI

Business Name

PETER L STUCKI

Original Issue Date

01/10/1994

Effective Date

01/10/1994

Expiration Date

03/01/2006

City

YELLOWSTONE NTL PARK

State

Zip

82190

County

WYOMING

Ever Disciplined

LastModifiedDate

10/09/2006