GEORGE F DANFORTH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000495

License Status

NOT RENEWED

Business

First Name

GEORGE F

Last Name

DANFORTH

Business Name

GEORGE F DANFORTH

Original Issue Date

04/21/1992

Effective Date

04/21/1992

Expiration Date

03/01/1994

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/26/2006