WENDY S DAVIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002487

License Status

NOT RENEWED

Business

First Name

WENDY

Middle

Last Name

DAVIS

Business Name

WENDY S DAVIS

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

03/01/2008

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/05/2009