Breezetta Lowanet Etienne
Medical - Physician Assistant
Minnesota 10035 Suspended
This Minnesota license was held by Breezetta Lowanet Etienne. The license is no longer active. It was granted on 11/12/2005 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 10035
- Category: Physician Assistant
- Status: Suspended
- Date Granted: 11/12/2005 (over 19 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)
LOCATIONS
A Licensure Designated Address
1600 - 10th St SE, East Grand Forks, MN 56721