License holder summary

Faith Alise Gustafson is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Faith Alise Gustafson is 1475 Webb St, Cumberland, WI 54829. This licensed professional license is not current. The license was granted 11/08/2003 and expired on 06/30/2007.

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 2024-04-20 22:25:54 UTC

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