Lisa Amanda Childress
Medical - Physician Assistant
Minnesota 10735 Inactive
This Minnesota license was held by Lisa Amanda Childress. The license is no longer active. It was granted on 07/10/2010 and expired on 06/30/2013
LICENSE DETAILS
- License Number: 10735
- Category: Physician Assistant
- Status: Inactive
- Date Granted: 07/10/2010 (almost 15 years ago)
- Expiry Date: 06/30/2013 (almost 12 years ago)
LOCATIONS
A Licensure Designated Address
Twin Cities Orthopedics, 3366 Oakdale Ave N, Robbinsdale, MN 55422