License holder summary

Robert John Niles is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Robert John Niles is 20578 Enfield Ave, Forest Lake, MN 55025. This licensed professional license is current. The license was granted 09/11/2010 and expired on 06/30/2015.

Minnesota

Department of Labor and Industry

Robert John Niles
Medical - Physician Assistant
License number
10827
Date granted
09/11/2010
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
20578 Enfield Ave, Forest Lake, MN 55025
mnlicensing.org
ID 22353288
LAST UPDATED 2024-03-11 11:49:24 UTC

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