License holder summary

Mark Thomas Destache is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Mark Thomas Destache is 2700 Snelling Ave N, Suite 400, Roseville, MN 55113. This doctor license is current. The license was granted 01/05/1991 and expired on 08/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

Mark Thomas Destache
Medical - Physician And Surgeon
License number
34185
Date granted
01/05/1991
Date expires
08/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
2700 Snelling Ave N, Suite 400, Roseville, MN 55113
doctorsminnesota.org
ID 22198249
LAST UPDATED 2024-02-23 23:26:42 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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