Wisconsin
Department of Safety and Professional Services
Phillips, Jacquelyn R
Physician Assistant
License number
1948-23
Date granted
12/21/2005
Date expires
02/28/2014
Class
Physician Assistant
Status
Active
wisconsinlicensing.org
ID 12800402
LAST UPDATED 2024-02-28 23:55:43 UTC
LAST UPDATED 2024-02-28 23:55:43 UTC
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