MARY J DERSE-HAYES - Physician Assistant License in Wisconsin | # 085008033

MARY J DERSE-HAYES

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008033

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

J

Last Name

DERSE-HAYES

Business Name

MARY J DERSE-HAYES

Original Issue Date

10/27/2020

Effective Date

01/18/2022

Expiration Date

03/01/2024

State

WI

Ever Disciplined

N

LastModifiedDate

02/05/2025