Wisconsin
Department of Safety and Professional Services
Law, Colline N
Physician Assistant
License number
997-23
Date granted
01/09/1998
Date expires
10/31/1999
Class
Physician Assistant
Status
Expired
wisconsinlicensing.org
ID 12799454
LAST UPDATED 2024-03-03 11:51:03 UTC
LAST UPDATED 2024-03-03 11:51:03 UTC
This website is unaffiliated with the Department of Safety and Professional Services. Please verify all information directly with the relevant official government authority.