Wisconsin
Department of Safety and Professional Services
Van Tine, Matthew P
Physician Assistant
License number
2512-23
Date granted
10/05/2009
Date expires
02/29/2012
Class
Physician Assistant
Status
Expired
wisconsinlicensing.org
ID 36338548
LAST UPDATED 2024-05-24 22:19:30 UTC
LAST UPDATED 2024-05-24 22:19:30 UTC
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