Wisconsin
Department of Safety and Professional Services
Balthazor, Brenda K
Physician Assistant
License number
1869-23
Date granted
08/11/2005
Date expires
02/28/2014
Class
Physician Assistant
Status
Active
wisconsinlicensing.org
ID 12800323
LAST UPDATED 2024-05-07 05:07:50 UTC
LAST UPDATED 2024-05-07 05:07:50 UTC
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