THEODORE S STAMATAKOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088584

License Status

NOT RENEWED

Business

First Name

THEODORE S

Last Name

STAMATAKOS

Suffix

Business Name

THEODORE S STAMATAKOS MD

Original Issue Date

06/20/1994

Effective Date

06/20/1994

Expiration Date

07/31/1996

City

MINNEAPOLIS

State

Zip

55413

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/20/2006