DEANNA LYNNE ROECKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

LYNNE

Last Name

ROECKER

Business Name

DEANNA LYNNE ROECKER

Original Issue Date

03/11/2004

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

OCONOMOWOC

State

Zip

53066

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/15/2010