License holder summary

Nicole Elizabeth Zack is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Nicole Elizabeth Zack is 4625 Churchill Street, Suite 211, Shoreview, MN 55126. This licensed professional license is current. The license was granted 03/13/2010 and expired on 06/30/2015.

Minnesota

Department of Labor and Industry

Nicole Elizabeth Zack
Medical - Physician Assistant
License number
10711
Date granted
03/13/2010
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
4625 Churchill Street, Suite 211, Shoreview, MN 55126
mnlicensing.org
ID 22355740
LAST UPDATED 2024-03-06 05:10:08 UTC

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