TERRA ELIZABETH GAHLMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004937

License Status

NOT RENEWED

Business

First Name

TERRA

Middle

ELIZABETH

Last Name

GAHLMAN

Business Name

TERRA ELIZABETH GAHLMAN

Original Issue Date

10/30/2013

Effective Date

02/25/2014

Expiration Date

03/01/2016

City

WAUKESHA

State

Zip

53189

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/25/2016