BREANNA LEIGH RIES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003516

License Status

NOT RENEWED

Business

First Name

BREANNA

Middle

LEIGH

Last Name

RIES

Business Name

BREANNA LEIGH RIES

Original Issue Date

07/21/2009

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/11/2012