ROBERT A GIRARD Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000563

License Status

INACTIVE

Business

First Name

ROBERT

Middle

Last Name

GIRARD

Business Name

ROBERT A GIRARD

Original Issue Date

12/02/1993

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

HENNEPIN

State

Zip

61327

County

PUTNAM

Ever Disciplined

LastModifiedDate

12/09/2009