MICHAEL DAVIS MONTGOMERY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156915

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVIS

Last Name

MONTGOMERY

Business Name

MICHAEL DAVIS MONTGOMERY

Original Issue Date

05/12/2021

Effective Date

05/12/2021

Expiration Date

07/31/2023

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

11/30/2023