STEPHANIE MARIE KUMM - Physician Assistant License in Minnesota | # 085005317

STEPHANIE MARIE KUMM

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005317

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

MARIE

Last Name

KUMM

Business Name

STEPHANIE MARIE KUMM

Original Issue Date

10/14/2014

Effective Date

10/14/2014

Expiration Date

03/01/2016

State

MN

Ever Disciplined

N

LastModifiedDate

04/25/2016