RYANE LEIGH WALSH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003780

License Status

NOT RENEWED

Business

First Name

RYANE

Middle

LEIGH

Last Name

WALSH

Business Name

RYANE LEIGH WALSH

Original Issue Date

07/01/2010

Effective Date

01/25/2012

Expiration Date

03/01/2014

City

OAK CREEK

State

Zip

53154

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/28/2015