MARY J DERSE-HAYES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008033

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

DERSE-HAYES

Business Name

MARY J DERSE-HAYES

Original Issue Date

10/27/2020

Effective Date

01/18/2022

Expiration Date

03/01/2024

City

SHOREWOOD

State

Zip

53211

Ever Disciplined

LastModifiedDate

02/05/2025