Minnesota
Department of Labor and Industry
Ericka Rose Moudry
Medical - Physician Assistant
License number
10935
Date granted
08/06/2011
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
6434 Hearthstone Avenue South, Cottage Grove, MN 55016
mnlicensing.org
ID 22353125
LAST UPDATED 2024-03-15 03:07:16 UTC
LAST UPDATED 2024-03-15 03:07:16 UTC
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