RACHEL LYNN NEILITZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002309

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

LYNN

Last Name

NEILITZ

Business Name

RACHEL LYNN NEILITZ

Original Issue Date

09/01/2004

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

APPLETON

State

Zip

54913

Ever Disciplined

LastModifiedDate

04/01/2010