DANIEL JORDAN STEPHENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

JORDAN

Last Name

STEPHENS

Business Name

DANIEL JORDAN STEPHENS MD

Original Issue Date

12/04/2015

Effective Date

12/04/2015

Expiration Date

07/31/2017

City

MINNEAPOLIS

State

Zip

55403

County

MINNESOTA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017