BRITTANY L PORTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003651

License Status

NOT RENEWED

Business

First Name

BRITTANY

Middle

Last Name

PORTER

Business Name

BRITTANY L PORTER

Original Issue Date

10/23/2009

Effective Date

03/05/2014

Expiration Date

03/01/2016

City

ELKHORN

State

Zip

53121

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/25/2016