AMY J EWEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108566

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

EWEN

Business Name

AMY J EWEN

Original Issue Date

02/10/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DUBUQUE

State

Zip

52001

Ever Disciplined

LastModifiedDate

11/06/2008