BENJAMIN A KESSEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004283

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

KESSEL

Business Name

BENJAMIN A KESSEL

Original Issue Date

02/21/2012

Effective Date

02/21/2012

Expiration Date

03/01/2014

City

BRISTOL

State

Zip

53104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/01/2014