DALE ALAN FRIESEN - Physician Assistant License in Missouri | # 085002656

DALE ALAN FRIESEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002656

License Status

NOT RENEWED

Business

N

First Name

DALE

Middle

ALAN

Last Name

FRIESEN

Business Name

DALE ALAN FRIESEN

Original Issue Date

11/09/2005

Effective Date

11/09/2005

Expiration Date

03/01/2006

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006