AMANDA NICOLE KLIMEK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005255

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

NICOLE

Last Name

KLIMEK

Business Name

AMANDA NICOLE KLIMEK

Original Issue Date

09/24/2014

Effective Date

09/24/2014

Expiration Date

03/01/2016

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/25/2016