BREANNA LEIGH RIES - Physician Assistant License in Wisconsin | # 085003516

BREANNA LEIGH RIES

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003516

License Status

NOT RENEWED

Business

N

First Name

BREANNA

Middle

LEIGH

Last Name

RIES

Business Name

BREANNA LEIGH RIES

Original Issue Date

07/21/2009

Effective Date

02/24/2010

Expiration Date

03/01/2012

State

WI

Ever Disciplined

N

LastModifiedDate

04/11/2012