BRIAN J KNUTSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000956

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

KNUTSON

Business Name

BRIAN J KNUTSON

Original Issue Date

01/14/1998

Effective Date

03/17/2016

Expiration Date

03/01/2018

City

MONROE

State

Zip

53566

Ever Disciplined

LastModifiedDate

05/10/2018