JACQUELINE JORDAN SPIEGEL - Physician Assistant License in Wisconsin | # 085001683

JACQUELINE JORDAN SPIEGEL

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001683

License Status

INACTIVE

Business

N

First Name

JACQUELINE

Middle

JORDAN

Last Name

SPIEGEL

Business Name

JACQUELINE JORDAN SPIEGEL

Original Issue Date

11/06/2001

Effective Date

11/06/2001

Expiration Date

03/01/2006

State

WI

Ever Disciplined

N

LastModifiedDate

10/31/2007