EWALD THORWALD SORENSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036452

License Status

INACTIVE

Business

First Name

EWALD THORWALD

Last Name

SORENSEN

Suffix

Business Name

EWALD THORWALD SORENSEN MD

Original Issue Date

03/08/1960

Effective Date

03/08/1960

Expiration Date

07/31/1987

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006