Larry Thomas Micon

Medical - Physician And Surgeon

Minnesota  30775   Canceled

This Minnesota license was held by Larry Thomas Micon. The license is no longer active. It was granted on 05/09/1987 and expired on 12/31/1988

LICENSE DETAILS

  • License Number: 30775
  • Category: Physician and Surgeon
  • Status: Canceled
  • Date Granted: 05/09/1987 (about 38 years ago)
  • Expiry Date: 12/31/1988 (over 36 years ago)

LOCATIONS

A Address

7102 Carey Lane, Maple Grove, MN 55369