GIA RAE ELIASON Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004640

License Status

INACTIVE

Business

First Name

GIA

Middle

RAE

Last Name

ELIASON

Business Name

GIA RAE ELIASON

Original Issue Date

04/15/2013

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

INVER GROVE HEIGHTS

State

Zip

55077

County

MINNESOTA

Ever Disciplined

LastModifiedDate

03/24/2016