THOMAS GREGORY KUERBITZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003761

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

GREGORY

Last Name

KUERBITZ

Business Name

THOMAS GREGORY KUERBITZ

Original Issue Date

06/21/2010

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

05/10/2018