BRAD LYN HARTWIG Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002982

License Status

INACTIVE

Business

First Name

BRAD

Middle

LYN

Last Name

HARTWIG

Business Name

BRAD LYN HARTWIG

Original Issue Date

06/28/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

OSHKOSH

State

Zip

54901

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/21/2009