Iowa
Professional Licensing Bureau
Terra Bahe Wissbaum
Physician Assistants - Physician Assistant
License number
002386
Date granted
10/23/2013
Date expires
09/30/2015
Class
Physician Assistants - Physician Assistant
Status
Active
Address
1900 South Ave Mailstop H05-002 LACROSSE WI 54601
iowalicenses.org
ID 24190693
LAST UPDATED 2024-04-30 14:30:00 UTC
LAST UPDATED 2024-04-30 14:30:00 UTC
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