TODD MICHAEL MINER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100354

License Status

NOT RENEWED

Business

First Name

TODD

Middle

MICHAEL

Last Name

MINER

Suffix

Business Name

TODD MICHAEL MINER MD

Original Issue Date

06/17/1999

Effective Date

06/17/1999

Expiration Date

07/31/2002

City

SALT LAKE CITY

State

Zip

84103

County

UTAH

Ever Disciplined

LastModifiedDate

10/09/2006