BORIS SUDEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113621

License Status

INACTIVE

Business

First Name

BORIS

Last Name

SUDEL

Suffix

Business Name

BORIS SUDEL MD

Original Issue Date

05/03/2005

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

STILLWATER

State

Zip

55082

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/12/2017