MICHAEL ROBERT MADRZAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001974

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ROBERT

Last Name

MADRZAK

Business Name

MICHAEL ROBERT MADRZAK

Original Issue Date

01/24/2003

Effective Date

01/24/2003

Expiration Date

03/01/2008

City

MENOMONEE FALLS

State

Zip

53051

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/23/2008