SUSAN C BROWN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001328

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

BROWN

Business Name

SUSAN C BROWN

Original Issue Date

12/30/1999

Effective Date

12/30/1999

Expiration Date

03/01/2006

City

WAUWATOSA

State

Zip

53225

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006