HEATHER RICHARDSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009612

License Status

NOT RENEWED

Business

First Name

HEATHER

Last Name

RICHARDSON

Business Name

HEATHER RICHARDSON

Original Issue Date

03/27/2023

Effective Date

03/27/2023

Expiration Date

03/01/2024

City

APPLETON

State

Zip

54914

Ever Disciplined

LastModifiedDate

02/05/2025