ISAAC MARTIN SUNDALL WAALEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010086

License Status

ACTIVE

Business

First Name

ISAAC

Middle

MARTIN SUNDALL

Last Name

WAALEN

Business Name

ISAAC MARTIN SUNDALL WAALEN

Original Issue Date

09/29/2023

Effective Date

03/07/2026

Expiration Date

03/01/2028

City

MINNEAPOLIS

State

Zip

55422

Ever Disciplined

LastModifiedDate

03/07/2026