NICOLE J GALLOB - Physician Assistant License in Minnesota | # 085002799

NICOLE J GALLOB

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002799

License Status

INACTIVE

Business

N

First Name

NICOLE

Middle

J

Last Name

GALLOB

Business Name

NICOLE J GALLOB

Original Issue Date

08/29/2006

Effective Date

08/29/2006

Expiration Date

03/01/2008

State

MN

Ever Disciplined

N

LastModifiedDate

01/11/2011