ANASTASIA J HUMMEL - Medical Doctor License in Wisconsin | # 130000173

ANASTASIA J HUMMEL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000173

License Status

EXPIRED

Business

N

First Name

ANASTASIA J

Last Name

HUMMEL

Business Name

ANASTASIA J HUMMEL

Original Issue Date

07/15/1992

Effective Date

07/15/1992

Expiration Date

10/02/1992

State

WI

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/25/2006