Minnesota
Department of Labor and Industry
Faith Alise Gustafson
Medical - Physician Assistant
License number
9830
Date granted
11/08/2003
Date expires
06/30/2007
Class
Medical - Physician Assistant
Status
Canceled
Address
1475 Webb St, Cumberland, WI 54829
mnlicensing.org
ID 22351117
LAST UPDATED 2024-04-13 14:51:34 UTC
LAST UPDATED 2024-04-13 14:51:34 UTC
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