ANGELA L LARSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002027

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

LARSON

Business Name

ANGELA L LARSON

Original Issue Date

07/15/2003

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

ROCHESTER

State

Zip

55901

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/01/2010