Nickolas Peter Tierney

Medical - Physician And Surgeon

Minnesota  36736   Suspended

This Minnesota license was held by Nickolas Peter Tierney. The license is no longer active. It was granted on 09/11/1993 and expired on 12/31/2005

LICENSE DETAILS

  • License Number: 36736
  • Category: Physician and Surgeon
  • Status: Suspended
  • Date Granted: 09/11/1993 (over 31 years ago)
  • Expiry Date: 12/31/2005 (over 19 years ago)

LOCATIONS

A Licensure Designated Address

1030 Cty Rd E; West #200, Shoreview, MN 55126