License holder summary

Jodi Marie Nicholson is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Jodi Marie Nicholson is Sanford Health Broadway Clinic, 1527 Broadway Street, Alexandria, MN 56308. 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

Jodi Marie Nicholson
Medical - Physician Assistant
License number
9998
Date granted
07/09/2005
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
Sanford Health Broadway Clinic, 1527 Broadway Street, Alexandria, MN 56308
mnlicensing.org
ID 22353274
LAST UPDATED 2024-04-02 13:30:33 UTC

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