LAURA S OLDENBURG Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004701

License Status

INACTIVE

Business

First Name

LAURA

Middle

Last Name

OLDENBURG

Business Name

LAURA S OLDENBURG

Original Issue Date

07/05/2013

Effective Date

07/05/2013

Expiration Date

03/01/2014

City

SHOREWOOD

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/19/2013