KACIE HOLMAN SMITH - Physician Assistant License in Wisconsin | # 085004355

KACIE HOLMAN SMITH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004355

License Status

NOT RENEWED

Business

N

First Name

KACIE

Middle

HOLMAN

Last Name

SMITH

Business Name

KACIE HOLMAN SMITH

Original Issue Date

07/17/2012

Effective Date

07/17/2012

Expiration Date

03/01/2014

State

WI

Ever Disciplined

N

LastModifiedDate

10/07/2014