License holder summary

Maria Diane Mallory is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Maria Diane Mallory is CentraCare Clinic, 1200 6th Ave N, St. Cloud, MN 56303. This doctor license is current. The license was granted 07/09/2005 and expired on 05/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

Maria Diane Mallory
Medical - Physician And Surgeon
License number
47718
Date granted
07/09/2005
Date expires
05/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
CentraCare Clinic, 1200 6th Ave N, St. Cloud, MN 56303
doctorsminnesota.org
ID 22252324
LAST UPDATED 2026-05-04 14:28:12 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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