JOHN N HENRY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002126

License Status

INACTIVE

Business

First Name

JOHN

Middle

Last Name

HENRY

Business Name

JOHN N HENRY

Original Issue Date

10/16/2003

Effective Date

10/16/2003

Expiration Date

03/01/2004

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006