Wisconsin
Department of Safety and Professional Services
Stack, Heather L
Physician Assistant
License number
1541-23
Date granted
09/30/2002
Date expires
02/28/2014
Class
Physician Assistant
Status
Active
wisconsinlicensing.org
ID 12799994
LAST UPDATED 2024-04-11 14:14:58 UTC
LAST UPDATED 2024-04-11 14:14:58 UTC
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