VIRGINIA ANNE EVANS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002490

License Status

NOT RENEWED

Business

First Name

VIRGINIA

Middle

ANNE

Last Name

EVANS

Business Name

VIRGINIA ANNE EVANS

Original Issue Date

06/30/2005

Effective Date

06/30/2005

Expiration Date

03/01/2008

City

MADISON

State

Zip

53715

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/23/2009