DALE ALAN FRIESEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002656

License Status

NOT RENEWED

Business

First Name

DALE

Middle

ALAN

Last Name

FRIESEN

Business Name

DALE ALAN FRIESEN

Original Issue Date

11/09/2005

Effective Date

11/09/2005

Expiration Date

03/01/2006

City

ST LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006