Minnesota
Department of Labor and Industry
Carrie Sue Fortman
Medical - Physician Assistant
License number
9118
Date granted
09/17/1994
Date expires
06/30/1999
Class
Medical - Physician Assistant
Status
Canceled
Address
3955 - 119th Ave NW, #301, Coon Rapids, MN 55433
mnlicensing.org
ID 22350754
LAST UPDATED 2024-04-12 03:10:13 UTC
LAST UPDATED 2024-04-12 03:10:13 UTC
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