Iowa
Professional Licensing Bureau
Jaime Michelle Peterson
Physician Assistants - Physician Assistant
License number
002124
Date granted
07/02/2010
Date expires
09/30/2016
Class
Physician Assistants - Physician Assistant
Status
Active
Address
1900 SOUTH AVE LACROSSE WI 54601
iowalicenses.org
ID 24188702
LAST UPDATED 2024-03-24 19:09:55 UTC
LAST UPDATED 2024-03-24 19:09:55 UTC
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