ADAM MICHAEL WENNERSTEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009174

License Status

ACTIVE

Business

First Name

ADAM

Middle

MICHAEL

Last Name

WENNERSTEN

Business Name

ADAM MICHAEL WENNERSTEN

Original Issue Date

08/08/2022

Effective Date

02/06/2024

Expiration Date

03/01/2026

City

MAPLE

State

Zip

54854

Ever Disciplined

LastModifiedDate

12/03/2025