License holder summary

Nicole Dinneen Johnson is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Nicole Dinneen Johnson is 4125 11th Avenue South, Minneapolis, MN 55407. This licensed professional license is current. The license was granted 09/12/2009 and expired on 06/30/2015.

Minnesota

Department of Labor and Industry

Nicole Dinneen Johnson
Medical - Physician Assistant
License number
10609
Date granted
09/12/2009
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
4125 11th Avenue South, Minneapolis, MN 55407
mnlicensing.org
ID 22351894
LAST UPDATED 2026-03-30 05:45:26 UTC

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