CAROL HAREWOOD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008199

License Status

ACTIVE

Business

First Name

CAROL

Last Name

HAREWOOD

Business Name

CAROL HAREWOOD

Original Issue Date

02/08/2021

Effective Date

01/18/2026

Expiration Date

03/01/2028

City

WAUWATOSA

State

Zip

53226

Ever Disciplined

LastModifiedDate

01/18/2026