DAVID GORDON DRAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121794

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

GORDON

Last Name

DRAKE

Suffix

Business Name

DAVID GORDON DRAKE MD

Original Issue Date

08/19/2008

Effective Date

08/19/2008

Expiration Date

07/31/2011

City

SAINT PAUL

State

Zip

55101

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/14/2011