KIERSTYN L BLOCK - Physician Assistant License in Wisconsin | # 085003444

KIERSTYN L BLOCK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003444

License Status

NOT RENEWED

Business

N

First Name

KIERSTYN

Middle

L

Last Name

BLOCK

Business Name

KIERSTYN L BLOCK

Original Issue Date

03/04/2009

Effective Date

02/04/2010

Expiration Date

03/01/2012

State

WI

Ever Disciplined

N

LastModifiedDate

04/11/2012