License holder summary

Mark Donald Gustafson is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Mark Donald Gustafson is Grand Itasca Clinic & Hos, 1601 Golf Course Road, Grand Rapids, MN 55744. This doctor license is current. The license was granted 01/05/1991 and expired on 07/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

Mark Donald Gustafson
Medical - Physician And Surgeon
License number
34203
Date granted
01/05/1991
Date expires
07/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
Grand Itasca Clinic & Hos, 1601 Golf Course Road, Grand Rapids, MN 55744
doctorsminnesota.org
ID 22215818
LAST UPDATED 2024-05-08 15:45:27 UTC

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