COURTNEY VON FREEMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002419

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

VON

Last Name

FREEMAN

Business Name

COURTNEY VON FREEMAN

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

03/01/2006

City

EDEN PRAIRIE

State

Zip

55347

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/01/2007