KRISTOPHER W DECKER - Physician Assistant License in Wisconsin | # 085005532

KRISTOPHER W DECKER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005532

License Status

NOT RENEWED

Business

N

First Name

KRISTOPHER

Middle

W

Last Name

DECKER

Business Name

KRISTOPHER W DECKER

Original Issue Date

07/08/2015

Effective Date

02/22/2018

Expiration Date

03/01/2020

State

WI

Ever Disciplined

N

LastModifiedDate

11/24/2020