Application for the position Medical Review Subcommittee (MRS) Application Date: 12/15/2022 3:35:29 PM

If you have questions related to your application, would like to amend your application or upload additional documents, contact the Board Staff Support listed on the The Ombudsman Committee for Mental Health & Developmental Disabilities agency page. The name and email link for the Board Staff Support person are listed in the upper right-hand corner of the board's website under CONTACT and again in the Board Staff Support section of the page.

Part I: Position Sought

Agency Name: The Ombudsman Committee for Mental Health & Developmental Disabilities
Position: Medical Review Subcommittee (MRS)
Seat: Not specified

Part II: Applicant Information

Name: Dr. Angelique Quinn Piper
County: Anoka
Recommended by the Appointing Authority: No
Mn House District: 35A
US House District: 6

Part III: Appending Documentation

Cover Letter and Resume

Type File Type

Additional Documents (.doc, .docx, .pdf, .txt)

Type File Name
No additional documents found.

Part V: Signature

Signature: Angelique Piper
Date: 12/15/2022 3:35:29 PM