Faith Alise Gustafson
Medical - Physician Assistant
Minnesota 9830 Canceled
This Minnesota license was held by Faith Alise Gustafson. The license is no longer active. It was granted on 11/08/2003 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 9830
- Category: Physician Assistant
- Status: Canceled
- Date Granted: 11/08/2003 (over 21 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Licensure Designated Address
1475 Webb St, Cumberland, WI 54829