TAIT DAVIS SHANAFELT MD - Medical Doctor License in Minnesota | # 036134159

TAIT DAVIS SHANAFELT MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134159

License Status

NOT RENEWED

Business

N

Title

MD

First Name

TAIT

Middle

DAVIS

Last Name

SHANAFELT

Business Name

TAIT DAVIS SHANAFELT MD

Original Issue Date

11/13/2013

Effective Date

07/28/2014

Expiration Date

07/31/2017

State

MN

Ever Disciplined

N

LastModifiedDate

11/01/2017