TED SCOTT WILLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160252

License Status

ACTIVE

Business

Title

First Name

TED

Middle

SCOTT

Last Name

WILLIS

Business Name

TED SCOTT WILLIS MD

Original Issue Date

04/15/2022

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

11/03/2023