MARISA FELKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007774

License Status

NOT RENEWED

Business

First Name

MARISA

Last Name

FELKER

Business Name

MARISA FELKER

Original Issue Date

06/22/2020

Effective Date

06/22/2020

Expiration Date

03/01/2022

City

MENASHA

State

Zip

54952

Ever Disciplined

LastModifiedDate

07/27/2022