DANIEL LISTER MD - Medical Doctor License in Minnesota | # 33*****94

DANIEL LISTER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

N

Title

MD

First Name

DANIEL

Last Name

LISTER

Business Name

DANIEL LISTER MD

Original Issue Date

08/21/2019

Effective Date

08/21/2019

Expiration Date

09/30/2020

State

MN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

01/14/2021