Minnesota
Department of Labor and Industry
Jaclyn Marie Dewalt
Medical - Physician Assistant
License number
10346
Date granted
11/10/2007
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
15290 Pennock Lane, Apple Valley, MN 55124
mnlicensing.org
ID 22350285
LAST UPDATED 2024-02-21 22:59:13 UTC
LAST UPDATED 2024-02-21 22:59:13 UTC
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