DEANNA LYNNE ROECKER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002184

License Status

INACTIVE

Business

First Name

DEANNA

Middle

LYNNE

Last Name

ROECKER

Business Name

DEANNA LYNNE ROECKER

Original Issue Date

11/06/2003

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

OCONOMOWOC

State

Zip

53066

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/15/2010