STEPHANIE DAWN RUNYAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135456

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

DAWN

Last Name

RUNYAN

Business Name

STEPHANIE DAWN RUNYAN DO

Original Issue Date

06/09/2014

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

EDEN PRAIRIE

State

Zip

55344

County

NEBRASKA

Ever Disciplined

LastModifiedDate

06/17/2023