LUANN J FLIESS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000742

License Status

NOT RENEWED

Business

First Name

LUANN J

Last Name

FLIESS

Business Name

LUANN J FLIESS

Original Issue Date

02/06/1996

Effective Date

02/06/1996

Expiration Date

03/01/1998

City

UNION GROVE

State

Zip

53182

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/26/2006