DANIEL THEODORE STOPKA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057183

License Status

EXPIRED

Business

Title

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

City

SAGINAW

State

Zip

48602

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012