DANIEL PATRICK STURM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001008

License Status

NOT RENEWED

Business

First Name

DANIEL PATRICK

Last Name

STURM

Business Name

DANIEL PATRICK STURM

Original Issue Date

01/21/1998

Effective Date

12/17/2009

Expiration Date

03/01/2012

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/10/2015