REBECCA LYNN PEREZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004687

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

LYNN

Last Name

PEREZ

Business Name

REBECCA LYNN PEREZ

Original Issue Date

06/13/2013

Effective Date

06/13/2013

Expiration Date

03/01/2014

City

APPLETON

State

Zip

54913

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2014