CHRISTOPHER MICHAEL NORTHERN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002494

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

NORTHERN

Business Name

CHRISTOPHER MICHAEL NORTHERN

Original Issue Date

07/06/2005

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

LAKE GENEVA

State

Zip

53147

Ever Disciplined

LastModifiedDate

12/03/2025