License holder summary

Jacqueline Fossen Mahan is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Jacqueline Fossen Mahan is 1687 Woodlane Drive, Suite 101, Woodbury, MN 55125. This doctor license is current. The license was granted 09/13/1997 and expired on 12/31/2014.

Department of Safety and Professional Services

Board of Medical Practice

Jacqueline Fossen Mahan
Medical - Physician And Surgeon
License number
40062
Date granted
09/13/1997
Date expires
12/31/2014
Class
Medical - Physician And Surgeon
Status
Active
Address
1687 Woodlane Drive, Suite 101, Woodbury, MN 55125
doctorsminnesota.org
ID 22252019
LAST UPDATED 2024-04-01 00:44:47 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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