STEPHANIE ZLATA BALUKA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006816

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ZLATA

Last Name

BALUKA

Business Name

STEPHANIE ZLATA BALUKA

Original Issue Date

11/08/2018

Effective Date

01/14/2022

Expiration Date

03/01/2024

City

OSHKOSH

State

Zip

54901

Ever Disciplined

LastModifiedDate

02/05/2025