KATHERINE D KETTERHAGEN - Physician Assistant License in Wisconsin | # 085002581

KATHERINE D KETTERHAGEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002581

License Status

NOT RENEWED

Business

N

First Name

KATHERINE

Middle

D

Last Name

KETTERHAGEN

Business Name

KATHERINE D KETTERHAGEN

Original Issue Date

09/19/2005

Effective Date

02/25/2010

Expiration Date

03/01/2012

State

WI

Ever Disciplined

N

LastModifiedDate

03/13/2013