CHRISTOPHER MICHAEL NORTHERN - Physician Assistant License in Wisconsin | # 38*****97

CHRISTOPHER MICHAEL NORTHERN

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

ACTIVE

Business

N

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

NORTHERN

Business Name

CHRISTOPHER MICHAEL NORTHERN

Original Issue Date

02/09/2006

Effective Date

12/03/2025

Expiration Date

03/01/2028

State

WI

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

12/03/2025