License holder summary

Lori Susan Banaszak is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Lori Susan Banaszak is 14490 - 64th Ave N, Maple Grove, MN 55311. This doctor license is not current. The license was granted 01/21/1995 and expired on 09/30/2014.

Department of Safety and Professional Services

Board of Medical Practice

Lori Susan Banaszak
Medical - Physician And Surgeon
License number
37715
Date granted
01/21/1995
Date expires
09/30/2014
Class
Medical - Physician And Surgeon
Status
Inactive
Address
14490 - 64th Ave N, Maple Grove, MN 55311
doctorsminnesota.org
ID 22157312
LAST UPDATED 2024-02-24 09:29:43 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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