Benjamin Travis Dastrup
Medical - Physician And Surgeon
Minnesota 51686 Canceled
This Minnesota license was held by Benjamin Travis Dastrup. The license is no longer active. It was granted on 05/09/2009 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 51686
- Category: Physician and Surgeon
- Status: Canceled
- Date Granted: 05/09/2009 (over 17 years ago)
- Expiry Date: 06/30/2011 (about 15 years ago)
LOCATIONS
A Licensure Designated Address
2908 Webster Avenue S, St. Louis Park, MN 55416