License holder summary

Mark Reque Omlie is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Mark Reque Omlie is Centennial Lakes Med Bldg, 7373 France Ave S, Edina, MN 55435. This doctor license is current. The license was granted 08/10/1979 and expired on 08/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

Mark Reque Omlie
Medical - Physician And Surgeon
License number
25059
Date granted
08/10/1979
Date expires
08/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
Centennial Lakes Med Bldg, 7373 France Ave S, Edina, MN 55435
doctorsminnesota.org
ID 22272376
LAST UPDATED 2024-03-24 21:32:03 UTC

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