PINNA REA KATZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002610

License Status

NOT RENEWED

Business

First Name

PINNA

Middle

REA

Last Name

KATZ

Business Name

PINNA REA KATZ

Original Issue Date

10/04/2005

Effective Date

03/11/2014

Expiration Date

03/01/2016

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/25/2016