License holder summary

Kathleen Charmaine Antolak is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Kathleen Charmaine Antolak is 2264 NW 7th St, Bend, OR 97701. This doctor license is not current. The license was granted 07/01/1982 and expired on 06/30/2004.

Department of Safety and Professional Services

Board of Medical Practice

Kathleen Charmaine Antolak
Medical - Physician And Surgeon
License number
26909
Date granted
07/01/1982
Date expires
06/30/2004
Class
Medical - Physician And Surgeon
Status
Canceled
Address
2264 NW 7th St, Bend, OR 97701
doctorsminnesota.org
ID 22154901
LAST UPDATED 2024-03-17 11:22:45 UTC

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