TANYA K GUNTLY - Physician Assistant License in Wisconsin | # 085004252

TANYA K GUNTLY

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004252

License Status

INACTIVE

Business

N

First Name

TANYA

Middle

K

Last Name

GUNTLY

Business Name

TANYA K GUNTLY

Original Issue Date

11/28/2011

Effective Date

02/11/2014

Expiration Date

03/01/2016

State

WI

Ever Disciplined

N

LastModifiedDate

03/24/2016