License holder summary

Northern Lights Pediatric & Adolescent Medicine, P.A. is a Medical - Professional Firm licensed to practice in Minnesota. The address on file for Northern Lights Pediatric & Adolescent Medicine, P.A. is 3615 Grand Avenue, White Bear Lake, MN 55110. This licensed professional license is not current. The license was granted 11/01/2004 and expired on 12/31/2008.

Minnesota

Department of Labor and Industry

Northern Lights Pediatric & Adolescent Medicine, P.A.
Medical - Professional Firm
License number
1638
Date granted
11/01/2004
Date expires
12/31/2008
Class
Medical - Professional Firm
Status
Inactive
Address
3615 Grand Avenue, White Bear Lake, MN 55110
mnlicensing.org
ID 22366714
LAST UPDATED 2026-05-29 23:57:56 UTC

This website is unaffiliated with the Department of Labor and Industry. Please verify all information directly with the relevant official government authority.

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