Nick Russell Evangelista

Medical - Physician Assistant

Minnesota  9425   Canceled

This Minnesota license was held by Nick Russell Evangelista. The license is no longer active. It was granted on 05/08/1999 and expired on 06/30/2005

LICENSE DETAILS

  • License Number: 9425
  • Category: Physician Assistant
  • Status: Canceled
  • Date Granted: 05/08/1999 (about 26 years ago)
  • Expiry Date: 06/30/2005 (almost 20 years ago)

LOCATIONS

A Address

717 S. State St Suite 900, Fairmont, MN 56031