JODI LORENE BANGERT - Physician Assistant License in Minnesota | # 085004131

JODI LORENE BANGERT

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004131

License Status

ACTIVE

Business

N

First Name

JODI

Middle

LORENE

Last Name

BANGERT

Business Name

JODI LORENE BANGERT

Original Issue Date

09/16/2011

Effective Date

12/11/2023

Expiration Date

03/01/2026

State

MN

Ever Disciplined

N

LastModifiedDate

12/03/2025