KATHERINE SHELLEY COX Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005390

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

SHELLEY

Last Name

COX

Business Name

KATHERINE SHELLEY COX

Original Issue Date

01/29/2015

Effective Date

02/10/2016

Expiration Date

03/01/2018

City

MILWAUKEE

State

Zip

53202

Ever Disciplined

LastModifiedDate

05/10/2018