License holder summary

Gabriel Leese Dersam is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Gabriel Leese Dersam is Gillette Children's Speialty Healthcare, 200 University Avenue East, St. Paul, MN 55101. This doctor license is not current. The license was granted 09/08/2007 and expired on 07/31/2008.

Department of Safety and Professional Services

Board of Medical Practice

Gabriel Leese Dersam
Medical - Physician And Surgeon
License number
49964
Date granted
09/08/2007
Date expires
07/31/2008
Class
Medical - Physician And Surgeon
Status
Canceled
Address
Gillette Children's Speialty Healthcare, 200 University Avenue East, St. Paul, MN 55101
doctorsminnesota.org
ID 22197490
LAST UPDATED 2024-01-26 12:09:24 UTC

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