MELINDA ELLEN STACK MD - Medical Doctor License in Minnesota | # 036135948

MELINDA ELLEN STACK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135948

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MELINDA

Middle

ELLEN

Last Name

STACK

Business Name

MELINDA ELLEN STACK MD

Original Issue Date

07/16/2014

Effective Date

08/27/2020

Expiration Date

07/31/2023

State

MN

Ever Disciplined

N

LastModifiedDate

11/30/2023