ANNAH CHRISTINE HOUK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

NOT RENEWED

Business

First Name

ANNAH

Middle

CHRISTINE

Last Name

HOUK

Business Name

ANNAH CHRISTINE HOUK

Original Issue Date

10/01/2007

Effective Date

06/25/2019

Expiration Date

03/01/2020

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020