License holder summary

Geoffrey Jones Theobald is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Geoffrey Jones Theobald is Park Nicollet Neurosurgery Department, 3931 Louisiana Avenue South, St. Louis Park, MN 55426. This licensed professional license is current. The license was granted 07/09/2005 and expired on 06/30/2015.

Minnesota

Department of Labor and Industry

Geoffrey Jones Theobald
Medical - Physician Assistant
License number
10003
Date granted
07/09/2005
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
Park Nicollet Neurosurgery Department, 3931 Louisiana Avenue South, St. Louis Park, MN 55426
mnlicensing.org
ID 22354977
LAST UPDATED 2024-04-25 20:03:22 UTC

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