Edward Angus Vivian

Medical - Physician And Surgeon

Minnesota  31168   Inactive

This Minnesota license was held by Edward Angus Vivian. The license is no longer active. It was granted on 07/11/1987 and expired on 09/30/2013

LICENSE DETAILS

  • License Number: 31168
  • Category: Physician and Surgeon
  • Status: Inactive
  • Date Granted: 07/11/1987 (almost 37 years ago)
  • Expiry Date: 09/30/2013 (over 10 years ago)

LOCATIONS

A Licensure Designated Address

1604 Kestrel Drive, Clarkston, WA 99403