MARIANNE T WEBER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001075

License Status

NOT RENEWED

Business

First Name

MARIANNE

Middle

Last Name

WEBER

Business Name

MARIANNE T WEBER

Original Issue Date

08/05/1998

Effective Date

08/05/1998

Expiration Date

03/01/2000

City

GENOA CITY

State

Zip

53128

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/26/2006