ANDREW GRAYSON SPELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147776

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

GRAYSON

Last Name

SPELL

Business Name

ANDREW GRAYSON SPELL MD

Original Issue Date

11/30/2018

Effective Date

11/30/2018

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

01/14/2021