CALLY M GORES-TODD - Physician Assistant License in Wisconsin | # 085004594

CALLY M GORES-TODD

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004594

License Status

NOT RENEWED

Business

N

First Name

CALLY

Middle

M

Last Name

GORES-TODD

Business Name

CALLY M GORES-TODD

Original Issue Date

01/03/2013

Effective Date

01/03/2013

Expiration Date

03/01/2014

State

WI

Ever Disciplined

N

LastModifiedDate

04/08/2014