Marybeth Bolanowski
Medical - Physician Assistant
Minnesota 9352 Canceled
This Minnesota license was held by Marybeth Bolanowski. The license is no longer active. It was granted on 09/12/1998 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 9352
- Category: Physician Assistant
- Status: Canceled
- Date Granted: 09/12/1998 (over 25 years ago)
- Expiry Date: 06/30/2001 (almost 23 years ago)
LOCATIONS
A Address
2810 Bristol Dr Apt 309, Lesle, IL 60532