License holder summary

Lisa Kelly Miller is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Lisa Kelly Miller is Park Nicollet-Breast Ctr., 3850 Park Nicollet Blvd, St. Louis Park, MN 55416. This doctor license is not current. The license was granted 03/08/2003 and expired on 05/31/2005.

Department of Safety and Professional Services

Board of Medical Practice

Lisa Kelly Miller
Medical - Physician And Surgeon
License number
45457
Date granted
03/08/2003
Date expires
05/31/2005
Class
Medical - Physician And Surgeon
Status
Canceled
Address
Park Nicollet-Breast Ctr., 3850 Park Nicollet Blvd, St. Louis Park, MN 55416
doctorsminnesota.org
ID 22260085
LAST UPDATED 2024-03-28 16:06:50 UTC

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