DANIEL THEODORE STOPKA MD - Medical Doctor License in Michigan | # 125057183

DANIEL THEODORE STOPKA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057183

License Status

EXPIRED

Business

N

Title

MD

First Name

DANIEL

Middle

THEODORE

Last Name

STOPKA

Business Name

DANIEL THEODORE STOPKA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

State

MI

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

08/29/2012