SHANE ALEX BORODITSKY DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038010688

License Status

INACTIVE

Business

First Name

SHANE

Middle

ALEX

Last Name

BORODITSKY

Suffix

Business Name

SHANE ALEX BORODITSKY DC

Original Issue Date

05/18/2006

Effective Date

05/18/2006

Expiration Date

07/31/2008

City

MINNEAPOLIS

State

Zip

55458

Ever Disciplined

LastModifiedDate

07/31/2008