MICHAEL B WOOD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002894

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

WOOD

Business Name

MICHAEL B WOOD

Original Issue Date

11/20/2006

Effective Date

08/26/2022

Expiration Date

03/01/2024

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/05/2025