MARC MONTELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126846

License Status

NOT RENEWED

Business

Title

First Name

MARC

Last Name

MONTELLA

Business Name

MARC MONTELLA MD

Original Issue Date

11/05/2010

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/01/2017