PATRICIA BUSH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003456

License Status

NOT RENEWED

Business

First Name

PATRICIA

Last Name

BUSH

Business Name

PATRICIA BUSH

Original Issue Date

04/28/2009

Effective Date

02/24/2012

Expiration Date

03/01/2014

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/21/2016