Connecticut
Department of Consumer Protection
NAM HO
Physician/Surgeon
License number
52216
Date granted
07/12/2013
Date expires
03/31/2014
Class
Physician/Surgeon
Status
Active
Address
559 HEINEL DR, Ramsey, ROSEVILLE, MN, 55113-2108
ctlicensing.org
ID 4365886
LAST UPDATED 2024-04-19 08:24:27 UTC
LAST UPDATED 2024-04-19 08:24:27 UTC
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