MONICA F SULLIVAN - Physician Assistant License in Wisconsin | # 085007067

MONICA F SULLIVAN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007067

License Status

NOT RENEWED

Business

N

First Name

MONICA

Middle

F

Last Name

SULLIVAN

Business Name

MONICA F SULLIVAN

Original Issue Date

05/28/2019

Effective Date

05/28/2019

Expiration Date

03/01/2020

State

WI

Ever Disciplined

N

LastModifiedDate

11/24/2020