DAVID WAYNE BOARD MD - Medical Doctor License in Minnesota | # 036112569

DAVID WAYNE BOARD MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112569

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

WAYNE

Last Name

BOARD

Suffix

MD

Business Name

DAVID WAYNE BOARD MD

Original Issue Date

10/22/2004

Effective Date

08/10/2020

Expiration Date

07/31/2023

State

MN

Ever Disciplined

N

LastModifiedDate

11/30/2023