VICTOR THOMAS CACERES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004789

License Status

NOT RENEWED

Business

First Name

VICTOR

Middle

THOMAS

Last Name

CACERES

Business Name

VICTOR THOMAS CACERES

Original Issue Date

08/01/2013

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

BEAVER DAM

State

Zip

53916

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/25/2016