Wisconsin
Department of Safety and Professional Services
North, Lowell
Physician Assistant
License number
63-23
Date granted
08/17/1976
Date expires
02/28/2014
Class
Physician Assistant
Status
Active
wisconsinlicensing.org
ID 12798516
LAST UPDATED 2024-04-15 22:37:30 UTC
LAST UPDATED 2024-04-15 22:37:30 UTC
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