JENNIFER A LARSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003026

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

LARSON

Business Name

JENNIFER A LARSON

Original Issue Date

08/28/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

PLYMOUTH

State

Zip

55446

Ever Disciplined

LastModifiedDate

12/02/2010