License holder summary

GRANT EDWARD NYBAKKEN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for GRANT EDWARD NYBAKKEN is Saint Louis MO 63108-1467. This medical practitioner license is not current. The license was granted 05/07/2008 and expired on 06/30/2012.

Department of State

Board of Medicine

GRANT EDWARD NYBAKKEN
Graduate Medical Trainee
License number
MT193042
Date granted
05/07/2008
Date expires
06/30/2012
Class
Graduate Medical Trainee
Status
Inactive
Address
Saint Louis MO 63108-1467
medicinepa.com
ID 37555406
LAST UPDATED 2024-03-06 16:33:02 UTC

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