KELLI LOUISE SASADA MD - Medical Doctor License in Wisconsin | # 125053000

KELLI LOUISE SASADA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053000

License Status

EXPIRED

Business

N

First Name

KELLI

Middle

LOUISE

Last Name

SASADA

Suffix

MD

Business Name

KELLI LOUISE SASADA MD

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

06/24/2010

State

WI

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

06/24/2010