AUTUMN KRYSTAL VALK - Physician Assistant License in Wisconsin | # 085003712

AUTUMN KRYSTAL VALK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003712

License Status

NOT RENEWED

Business

N

First Name

AUTUMN

Middle

KRYSTAL

Last Name

VALK

Business Name

AUTUMN KRYSTAL VALK

Original Issue Date

03/31/2010

Effective Date

02/25/2016

Expiration Date

03/01/2018

State

WI

Ever Disciplined

N

LastModifiedDate

05/10/2018