KAY DENISE SPONG LOZANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147548

License Status

ACTIVE

Business

Title

First Name

KAY

Middle

DENISE SPONG

Last Name

LOZANO

Business Name

KAY DENISE SPONG LOZANO MD

Original Issue Date

10/09/2018

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

07/04/2023