DEANNA LYNNE ROECKER - Physician Assistant License in Wisconsin | # 38*****70

DEANNA LYNNE ROECKER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

NOT RENEWED

Business

N

First Name

DEANNA

Middle

LYNNE

Last Name

ROECKER

Business Name

DEANNA LYNNE ROECKER

Original Issue Date

03/11/2004

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

WI

Ever Disciplined

N

LastModifiedDate

01/15/2010