RONALD ZACKER - Physician Assistant License in Wisconsin | # 085007717

RONALD ZACKER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007717

License Status

NOT RENEWED

Business

N

First Name

RONALD

Last Name

ZACKER

Business Name

RONALD ZACKER

Original Issue Date

06/08/2020

Effective Date

06/08/2020

Expiration Date

03/01/2022

State

WI

Ever Disciplined

N

LastModifiedDate

07/27/2022