DANA LYNN LOSS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005129

License Status

NOT RENEWED

Business

First Name

DANA

Middle

LYNN

Last Name

LOSS

Business Name

DANA LYNN LOSS

Original Issue Date

08/08/2014

Effective Date

08/08/2014

Expiration Date

03/01/2016

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/25/2016