NATHALIE ANNE GALLO - Physician Assistant License in Wisconsin | # 085002676

NATHALIE ANNE GALLO

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002676

License Status

INACTIVE

Business

N

First Name

NATHALIE

Middle

ANNE

Last Name

GALLO

Business Name

NATHALIE ANNE GALLO

Original Issue Date

12/21/2005

Effective Date

12/21/2005

Expiration Date

03/01/2008

State

WI

Ever Disciplined

N

LastModifiedDate

12/14/2007