License holder summary

Micheal Conrad Deitz is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Micheal Conrad Deitz is 15750 Rockford Rd 125, Plymouth, MN 55446. This licensed professional license is not current. The license was granted 05/11/1996 and expired on 06/30/1997.

Minnesota

Department of Labor and Industry

Micheal Conrad Deitz
Medical - Physician Assistant
License number
9197
Date granted
05/11/1996
Date expires
06/30/1997
Class
Medical - Physician Assistant
Status
Canceled
Address
15750 Rockford Rd 125, Plymouth, MN 55446
mnlicensing.org
ID 22350265
LAST UPDATED 2024-05-06 11:25:16 UTC

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