License holder summary

Mark Oliver Bostrom is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Mark Oliver Bostrom is 23293 Agate Shores Road, Deerwood, MN 56444. This doctor license is current. The license was granted 09/16/1995 and expired on 04/30/2015.

Department of Safety and Professional Services

Board of Medical Practice

Mark Oliver Bostrom
Medical - Physician And Surgeon
License number
38115
Date granted
09/16/1995
Date expires
04/30/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
23293 Agate Shores Road, Deerwood, MN 56444
doctorsminnesota.org
ID 22163059
LAST UPDATED 2024-02-01 19:47:03 UTC

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