Wisconsin
Department of Safety and Professional Services
Line, Daniel T
Physician Assistant
License number
2704-23
Date granted
12/20/2010
Date expires
02/28/2014
Class
Physician Assistant
Status
Active
wisconsinlicensing.org
ID 13711829
LAST UPDATED 2026-04-16 03:54:01 UTC
LAST UPDATED 2026-04-16 03:54:01 UTC
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