License holder summary

Fossum, Andrea B is a Physician Assistant licensed to practice in Wisconsin. This licensed professional license is not current. The license was granted 07/29/2005 and expired on 10/31/2007.

Wisconsin

Department of Safety and Professional Services

Fossum, Andrea B
Physician Assistant
License number
1906-23
Date granted
07/29/2005
Date expires
10/31/2007
Class
Physician Assistant
Status
Expired
wisconsinlicensing.org
ID 12800360
LAST UPDATED 2024-03-22 19:00:46 UTC

This website is unaffiliated with the Department of Safety and Professional Services. Please verify all information directly with the relevant official government authority.

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