MEGAN NICOLE PARHAM - Physician Assistant License in Wisconsin | # 085001468

MEGAN NICOLE PARHAM

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001468

License Status

NOT RENEWED

Business

N

First Name

MEGAN

Middle

NICOLE

Last Name

PARHAM

Business Name

MEGAN NICOLE PARHAM

Original Issue Date

11/08/2000

Effective Date

11/08/2000

Expiration Date

03/01/2002

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006