JACOB WASSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008107

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

WASSON

Business Name

JACOB WASSON

Original Issue Date

12/10/2020

Effective Date

12/10/2020

Expiration Date

03/01/2022

City

MINNEAPOLIS

State

Zip

55455

Ever Disciplined

LastModifiedDate

07/27/2022