License holder summary

Tara Louise Gustilo is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Tara Louise Gustilo is 1919 Timberline Spur, Minnetonka, MN 55305. This doctor license is current. The license was granted 01/12/2008 and expired on 12/31/2014.

Department of Safety and Professional Services

Board of Medical Practice

Tara Louise Gustilo
Medical - Physician And Surgeon
License number
50408
Date granted
01/12/2008
Date expires
12/31/2014
Class
Medical - Physician And Surgeon
Status
Active
Address
1919 Timberline Spur, Minnetonka, MN 55305
doctorsminnesota.org
ID 22215828
LAST UPDATED 2024-01-08 12:08:27 UTC

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