EVA JEANEAL DUCKETT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117156

License Status

NOT RENEWED

Business

First Name

EVA

Middle

JEANEAL

Last Name

DUCKETT

Business Name

EVA JEANEAL DUCKETT

Original Issue Date

11/09/2006

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/17/2014