NICHOLAS STACHOWIAK - Physician Assistant License in Wisconsin | # 085008608

NICHOLAS STACHOWIAK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008608

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Last Name

STACHOWIAK

Business Name

NICHOLAS STACHOWIAK

Original Issue Date

09/16/2021

Effective Date

09/16/2021

Expiration Date

03/01/2022

State

WI

Ever Disciplined

N

LastModifiedDate

07/27/2022