Annalyse Bucholtz
InactiveIllinois license 085003796
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085003796
- Status
- Inactive
- First issued
- July 15, 2010
- Expired
- March 1, 2022
- License holder
- Annalyse Bucholtz
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 02/05/2020
Contact
Pewaukee, WI 53072
Wisconsin County