RONALD ZACKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007717

License Status

NOT RENEWED

Business

First Name

RONALD

Last Name

ZACKER

Business Name

RONALD ZACKER

Original Issue Date

06/08/2020

Effective Date

06/08/2020

Expiration Date

03/01/2022

City

MILWAUKEE

State

Zip

53217

Ever Disciplined

LastModifiedDate

07/27/2022