ANNAH CHRISTINE HOUK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002963

License Status

NOT RENEWED

Business

First Name

ANNAH

Middle

CHRISTINE

Last Name

HOUK

Business Name

ANNAH CHRISTINE HOUK

Original Issue Date

05/09/2007

Effective Date

12/13/2017

Expiration Date

03/01/2020

City

OCONOMOWOC

State

Zip

53066

Ever Disciplined

LastModifiedDate

11/24/2020