Brian Michael Goodman
Medical - Physician Assistant
Minnesota 10923 Active
This Minnesota license is held by Brian Michael Goodman. The license is currently active. It was granted on 08/06/2011 and expired on 06/30/2015
LICENSE DETAILS
- License Number: 10923
- Category: Physician Assistant
- Status: Active
- Date Granted: 08/06/2011 (almost 14 years ago)
- Expiry Date: 06/30/2015 (almost 10 years ago)
LOCATIONS
A Licensure Designated Address
3216 Dakota Avenue South, St. Louis Park, MN 55416
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