KATHRYN LYNN ROGGOW Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004771

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

LYNN

Last Name

ROGGOW

Business Name

KATHRYN LYNN ROGGOW

Original Issue Date

07/25/2013

Effective Date

07/25/2013

Expiration Date

03/01/2014

City

LAKEVILLE

State

Zip

55044

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/29/2014