AMANDA KRISTINE FITZWATER DUTTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115805

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

KRISTINE

Last Name

FITZWATER DUTTON

Suffix

Business Name

AMANDA KRISTINE FITZWATER DUTTON MD

Original Issue Date

05/01/2006

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

01/14/2021