VICTOR THOMAS CACERES - Physician Assistant License in Wisconsin | # 085004789

VICTOR THOMAS CACERES

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004789

License Status

NOT RENEWED

Business

N

First Name

VICTOR

Middle

THOMAS

Last Name

CACERES

Business Name

VICTOR THOMAS CACERES

Original Issue Date

08/01/2013

Effective Date

01/23/2014

Expiration Date

03/01/2016

State

WI

Ever Disciplined

N

LastModifiedDate

04/25/2016