License holder summary

Ericka Rose Moudry is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Ericka Rose Moudry is 6434 Hearthstone Avenue South, Cottage Grove, MN 55016. This licensed professional license is current. The license was granted 08/06/2011 and expired on 06/30/2015.

Minnesota

Department of Labor and Industry

Ericka Rose Moudry
Medical - Physician Assistant
License number
10935
Date granted
08/06/2011
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
6434 Hearthstone Avenue South, Cottage Grove, MN 55016
mnlicensing.org
ID 22353125
LAST UPDATED 2024-03-06 12:28:09 UTC

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