License holder summary

Beverly Jean Polk is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Beverly Jean Polk is 1011 South 6th St, Lake City, MN 55041. This licensed professional license is not current. The license was granted 07/13/2002 and expired on 06/30/2005.

Minnesota

Department of Labor and Industry

Beverly Jean Polk
Medical - Physician Assistant
License number
9734
Date granted
07/13/2002
Date expires
06/30/2005
Class
Medical - Physician Assistant
Status
Canceled
Address
1011 South 6th St, Lake City, MN 55041
mnlicensing.org
ID 22353737
LAST UPDATED 2024-03-04 13:34:35 UTC

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