TIMOTHY ALAN BRYAN - Physician Assistant License in Wisconsin | # 085004461

TIMOTHY ALAN BRYAN

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004461

License Status

INACTIVE

Business

N

First Name

TIMOTHY

Middle

ALAN

Last Name

BRYAN

Business Name

TIMOTHY ALAN BRYAN

Original Issue Date

09/19/2012

Effective Date

12/07/2023

Expiration Date

03/01/2026

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2025