WALTER PRESTON MAYNARD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141331

License Status

INACTIVE

Business

Title

First Name

WALTER

Middle

PRESTON

Last Name

MAYNARD

Business Name

WALTER PRESTON MAYNARD MD

Original Issue Date

07/26/2016

Effective Date

07/26/2016

Expiration Date

07/31/2017

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/12/2017