MEAGAN ADELL WASACZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007218

License Status

NOT RENEWED

Business

First Name

MEAGAN

Middle

ADELL

Last Name

WASACZ

Business Name

MEAGAN ADELL WASACZ

Original Issue Date

08/20/2019

Effective Date

08/20/2019

Expiration Date

03/01/2020

City

OSHKOSH

State

Zip

54904

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/24/2020