License holder summary

Edward P. Southern, MD, P.A. is a Medical - Professional Firm licensed to practice in Minnesota. The address on file for Edward P. Southern, MD, P.A. is 19605 Chimo W, Deephaven, MN 55391. This licensed professional license is not current. The license was granted 01/05/2004 and expired on 12/31/2008.

Minnesota

Department of Labor and Industry

Edward P. Southern, MD, P.A.
Medical - Professional Firm
License number
1615
Date granted
01/05/2004
Date expires
12/31/2008
Class
Medical - Professional Firm
Status
Inactive
Address
19605 Chimo W, Deephaven, MN 55391
mnlicensing.org
ID 22365693
LAST UPDATED 2024-04-25 13:12:54 UTC

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