Randell Edward Bauman
Medical - Physician And Surgeon
Minnesota 45187 Canceled
This Minnesota license was held by Randell Edward Bauman. The license is no longer active. It was granted on 11/09/2002 and expired on 05/31/2005
LICENSE DETAILS
- License Number: 45187
- Category: Physician and Surgeon
- Status: Canceled
- Date Granted: 11/09/2002 (over 22 years ago)
- Expiry Date: 05/31/2005 (about 20 years ago)
LOCATIONS
A Licensure Designated Address
1515 St. Francis Ave, Suite 200, Shakopee, MN 55379