Wisconsin
Department of Safety and Professional Services
Black, Heidi G
Physician Assistant
License number
1330-23
Date granted
02/08/2001
Date expires
10/31/2005
Class
Physician Assistant
Status
Expired
wisconsinlicensing.org
ID 12799786
LAST UPDATED 2024-04-08 04:15:04 UTC
LAST UPDATED 2024-04-08 04:15:04 UTC
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