ANTONIA M DECKER - Physician Assistant License in Wisconsin | # 085005534

ANTONIA M DECKER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005534

License Status

NOT RENEWED

Business

N

First Name

ANTONIA

Middle

M

Last Name

DECKER

Business Name

ANTONIA M DECKER

Original Issue Date

07/08/2015

Effective Date

03/09/2018

Expiration Date

03/01/2020

State

WI

Ever Disciplined

N

LastModifiedDate

11/24/2020