License holder summary

Marybeth Bolanowski is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Marybeth Bolanowski is 2810 Bristol Dr Apt 309, Lesle, IL 60532. This licensed professional license is not current. The license was granted 09/12/1998 and expired on 06/30/2001.

Minnesota

Department of Labor and Industry

Marybeth Bolanowski
Medical - Physician Assistant
License number
9352
Date granted
09/12/1998
Date expires
06/30/2001
Class
Medical - Physician Assistant
Status
Canceled
Address
2810 Bristol Dr Apt 309, Lesle, IL 60532
mnlicensing.org
ID 22349650
LAST UPDATED 2024-04-01 09:06:49 UTC

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