MARK DONALD STANNARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155349

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

DONALD

Last Name

STANNARD

Business Name

MARK DONALD STANNARD MD

Original Issue Date

01/20/2021

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

LAKE ELMO

State

Zip

55042

County

WASHINGTON

Ever Disciplined

LastModifiedDate

07/05/2023