KAYLA MARIE BARAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006460

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

MARIE

Last Name

BARAN

Business Name

KAYLA MARIE BARAN

Original Issue Date

12/07/2017

Effective Date

12/07/2017

Expiration Date

03/01/2020

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/24/2020