LAUREL J LYCKHOLM Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091552

License Status

INACTIVE

Business

First Name

LAUREL J

Last Name

LYCKHOLM

Business Name

LAUREL J LYCKHOLM

Original Issue Date

08/08/1995

Effective Date

08/08/1995

Expiration Date

07/31/1996

City

IOWA CITY

State

Zip

52246

County

JOHNSON

Ever Disciplined

LastModifiedDate

09/15/2014