Andrew Jeptha Kincannon Smith

Medical - Physician And Surgeon

Minnesota  41532   Active

This Minnesota license is held by Andrew Jeptha Kincannon Smith. The license is currently active. It was granted on 05/08/1999 and expired on 07/31/2015

LICENSE DETAILS

  • License Number: 41532
  • Category: Physician and Surgeon
  • Status: Active
  • Date Granted: 05/08/1999 (almost 26 years ago)
  • Expiry Date: 07/31/2015 (over 9 years ago)

LOCATIONS

A Licensure Designated Address

HVC, 6500 Excelsior Blvd, St. Louis Park, MN 55426