LAURA ANN BUSACK - Physician Assistant License in Wisconsin | # 085001500

LAURA ANN BUSACK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001500

License Status

NOT RENEWED

Business

N

First Name

LAURA

Middle

ANN

Last Name

BUSACK

Business Name

LAURA ANN BUSACK

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

03/01/2002

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006