DANIEL JORDAN STEPHENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139443

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

JORDAN

Last Name

STEPHENS

Business Name

DANIEL JORDAN STEPHENS MD

Original Issue Date

12/04/2015

Effective Date

12/04/2015

Expiration Date

07/31/2017

City

MINNEAPOLIS

State

Zip

55403

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/01/2017