SAMUEL JOHN SPENCER - Physician Assistant License in Wisconsin | # 085004397

SAMUEL JOHN SPENCER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004397

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Middle

JOHN

Last Name

SPENCER

Business Name

SAMUEL JOHN SPENCER

Original Issue Date

08/08/2012

Effective Date

08/08/2012

Expiration Date

03/01/2014

State

WI

Ever Disciplined

N

LastModifiedDate

04/08/2014