MARK DAWYDOWYCZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005430

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

DAWYDOWYCZ

Business Name

MARK DAWYDOWYCZ

Original Issue Date

02/26/2015

Effective Date

02/13/2020

Expiration Date

03/01/2022

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/27/2022