License holder summary

Terra Bahe Wissbaum is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Terra Bahe Wissbaum is 1900 South Avenue Mailstop LM5-002, La Crosse, WI 54601. This licensed professional license is current. The license was granted 09/07/2013 and expired on 06/30/2015.

Minnesota

Department of Labor and Industry

Terra Bahe Wissbaum
Medical - Physician Assistant
License number
11432
Date granted
09/07/2013
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
1900 South Avenue Mailstop LM5-002, La Crosse, WI 54601
mnlicensing.org
ID 22355529
LAST UPDATED 2024-02-03 00:53:08 UTC

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