Larry David Weidell
Medical - Physician Assistant
Minnesota 10072 Canceled
This Minnesota license was held by Larry David Weidell. The license is no longer active. It was granted on 11/12/2005 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 10072
- Category: Physician Assistant
- Status: Canceled
- Date Granted: 11/12/2005 (over 19 years ago)
- Expiry Date: 06/30/2011 (almost 14 years ago)
LOCATIONS
A Licensure Designated Address
4725 36th Avenue N., Crystal, MN 55422