TAIT DAVIS SHANAFELT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134159

License Status

NOT RENEWED

Business

Title

First Name

TAIT

Middle

DAVIS

Last Name

SHANAFELT

Business Name

TAIT DAVIS SHANAFELT MD

Original Issue Date

11/13/2013

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

ROCHESTER

State

Zip

55905

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/01/2017