ROBERT J WIRTZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000629

License Status

NOT RENEWED

Business

First Name

ROBERT J

Last Name

WIRTZ

Business Name

ROBERT J WIRTZ

Original Issue Date

09/28/1994

Effective Date

09/28/1994

Expiration Date

03/01/1996

City

ONTONAGON

State

Zip

49953

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/26/2006