License holder summary

Jack Victor Carlisle is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Jack Victor Carlisle is Grand Itasca Clinic and Hospital, 1601 Golf Course Road, Grand Rapids, MN 55744. This doctor license is current. The license was granted 07/05/1988 and expired on 11/30/2014.

Department of Safety and Professional Services

Board of Medical Practice

Jack Victor Carlisle
Medical - Physician And Surgeon
License number
31750
Date granted
07/05/1988
Date expires
11/30/2014
Class
Medical - Physician And Surgeon
Status
Active
Address
Grand Itasca Clinic and Hospital, 1601 Golf Course Road, Grand Rapids, MN 55744
doctorsminnesota.org
ID 22169124
LAST UPDATED 2024-03-25 16:25:59 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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