Wisconsin
Department of Safety and Professional Services
Kennebeck, Tisha M
Physician Assistant
License number
1085-23
Date granted
01/22/1999
Date expires
02/28/2014
Class
Physician Assistant
Status
Active
wisconsinlicensing.org
ID 12799541
LAST UPDATED 2024-04-14 15:09:17 UTC
LAST UPDATED 2024-04-14 15:09:17 UTC
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