SARAH JOANNA TEN EYCK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003081

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

JOANNA

Last Name

TEN EYCK

Business Name

SARAH JOANNA TEN EYCK

Original Issue Date

10/01/2007

Effective Date

11/01/2016

Expiration Date

03/01/2018

City

SILVER LAKE

State

Zip

53170

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/10/2018