KRISTEN D BALLENTHIN - Physician Assistant License in Minnesota | # 085003109

KRISTEN D BALLENTHIN

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003109

License Status

INACTIVE

Business

N

First Name

KRISTEN

Middle

D

Last Name

BALLENTHIN

Business Name

KRISTEN D BALLENTHIN

Original Issue Date

10/16/2007

Effective Date

01/28/2010

Expiration Date

03/01/2012

State

MN

Ever Disciplined

N

LastModifiedDate

12/07/2011