MEAGAN ADELL WASACZ - Physician Assistant License in Wisconsin | # 085007218

MEAGAN ADELL WASACZ

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007218

License Status

NOT RENEWED

Business

N

First Name

MEAGAN

Middle

ADELL

Last Name

WASACZ

Business Name

MEAGAN ADELL WASACZ

Original Issue Date

08/20/2019

Effective Date

08/20/2019

Expiration Date

03/01/2020

State

WI

Ever Disciplined

N

LastModifiedDate

11/24/2020