License holder summary

Jeremy Lane is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Jeremy Lane is 6490 Excelsior Blvd., Suite E-400, St. Louis Park, MN 55426. This licensed professional license is current. The license was granted 11/13/2004 and expired on 06/30/2015.

Minnesota

Department of Labor and Industry

Jeremy Lane
Medical - Physician Assistant
License number
9937
Date granted
11/13/2004
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
6490 Excelsior Blvd., Suite E-400, St. Louis Park, MN 55426
mnlicensing.org
ID 22352300
LAST UPDATED 2024-04-05 11:36:22 UTC

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