License holder summary

Brian Michael Goodman is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Brian Michael Goodman is 3216 Dakota Avenue South, St. Louis Park, MN 55416. 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

Brian Michael Goodman
Medical - Physician Assistant
License number
10923
Date granted
08/06/2011
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
3216 Dakota Avenue South, St. Louis Park, MN 55416
mnlicensing.org
ID 22351016
LAST UPDATED 2024-02-25 16:10:12 UTC

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