License holder summary

Carlos Gedeon Fasola-Mimiza is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Carlos Gedeon Fasola-Mimiza is 2600 Kenzie Terrace, Apt 323-B, St. Anthony, MN 55418-3283. This doctor license is not current. The license was granted 08/05/1985 and expired on 08/31/1994.

Department of Safety and Professional Services

Board of Medical Practice

Carlos Gedeon Fasola-Mimiza
Medical - Physician And Surgeon
License number
29446
Date granted
08/05/1985
Date expires
08/31/1994
Class
Medical - Physician And Surgeon
Status
Canceled
Address
2600 Kenzie Terrace, Apt 323-B, St. Anthony, MN 55418-3283
doctorsminnesota.org
ID 22205528
LAST UPDATED 2026-05-17 03:15:21 UTC

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