JON PETER ENGBRETSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112549

License Status

INACTIVE

Business

First Name

JON

Middle

PETER

Last Name

ENGBRETSON

Suffix

Business Name

JON PETER ENGBRETSON MD

Original Issue Date

10/19/2004

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/05/2020