MELANIE ROSE DART - Physician Assistant License in Wisconsin | # 085004300

MELANIE ROSE DART

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004300

License Status

NOT RENEWED

Business

N

First Name

MELANIE

Middle

ROSE

Last Name

DART

Business Name

MELANIE ROSE DART

Original Issue Date

03/26/2012

Effective Date

03/26/2012

Expiration Date

03/01/2014

State

WI

Ever Disciplined

N

LastModifiedDate

04/08/2014