License holder summary

Medicine Lake Consultation Group, PLLC is a Medical - Professional Firm licensed to practice in Minnesota. The address on file for Medicine Lake Consultation Group, PLLC is 1155 Ford Road - Unit B, St. Louis Park, MN 55426. This licensed professional license is current. The license was granted 08/10/2010 and expired on 12/31/2014.

Minnesota

Department of Labor and Industry

Medicine Lake Consultation Group, PLLC
Medical - Professional Firm
License number
1791
Date granted
08/10/2010
Date expires
12/31/2014
Class
Medical - Professional Firm
Status
Active
Address
1155 Ford Road - Unit B, St. Louis Park, MN 55426
mnlicensing.org
ID 22366375
LAST UPDATED 2024-04-21 03:48:22 UTC

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