License holder summary

LUCRISHA M BANFORD is a Physician Assistants - Physician Assistant licensed to practice in Iowa. The address on file for LUCRISHA M BANFORD is 21756 GREEN STABLE SQUARE APT 410 ASHBURN VA 20147. This licensed professional license is not current. The license was granted 06/30/2004 and expired on 09/30/2006.

Iowa

Professional Licensing Bureau

LUCRISHA M BANFORD
Physician Assistants - Physician Assistant
License number
001573
Date granted
06/30/2004
Date expires
09/30/2006
Class
Physician Assistants - Physician Assistant
Status
Inactive
Address
21756 GREEN STABLE SQUARE APT 410 ASHBURN VA 20147
iowalicenses.org
ID 24189556
LAST UPDATED 2026-05-07 09:23:40 UTC

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