License holder summary

Marcy Diane Lisota is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Marcy Diane Lisota is 701 North Sprague, Caledonia, MN 55921. This licensed professional license is current. The license was granted 03/09/1996 and expired on 06/30/2015.

Minnesota

Department of Labor and Industry

Marcy Diane Lisota
Medical - Physician Assistant
License number
9180
Date granted
03/09/1996
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
701 North Sprague, Caledonia, MN 55921
mnlicensing.org
ID 22352493
LAST UPDATED 2024-03-03 15:35:56 UTC

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