License holder summary

Elliott Shawn Wise is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Elliott Shawn Wise is 5200 Fairview Blvd, Wyoming, MN 55092. This licensed professional license is current. The license was granted 11/10/2012 and expired on 06/30/2015.

Minnesota

Department of Labor and Industry

Elliott Shawn Wise
Medical - Physician Assistant
License number
11264
Date granted
11/10/2012
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
5200 Fairview Blvd, Wyoming, MN 55092
mnlicensing.org
ID 22355483
LAST UPDATED 2024-03-16 12:12:21 UTC

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