ALFRED W GARTZKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000917

License Status

NOT RENEWED

Business

First Name

ALFRED W

Last Name

GARTZKE

Business Name

ALFRED W GARTZKE

Original Issue Date

05/29/1997

Effective Date

05/29/1997

Expiration Date

03/01/1998

City

POPLAR GROVE

State

Zip

61065

County

BUREAU

Ever Disciplined

LastModifiedDate

09/26/2006