AMANDA COCHRAN LANGE - Physician Assistant License in Wisconsin | # 085004518

AMANDA COCHRAN LANGE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004518

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

COCHRAN

Last Name

LANGE

Business Name

AMANDA COCHRAN LANGE

Original Issue Date

10/22/2012

Effective Date

01/14/2020

Expiration Date

03/01/2022

State

WI

Ever Disciplined

N

LastModifiedDate

07/27/2022