JONATHAN HARIRIE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000692

License Status

NOT RENEWED

Business

First Name

JONATHAN

Last Name

HARIRIE

Business Name

JONATHAN HARIRIE

Original Issue Date

06/28/1995

Effective Date

03/09/2022

Expiration Date

03/01/2024

City

MENOMONEE FALLS

State

Zip

53051

Ever Disciplined

LastModifiedDate

02/05/2025