OWEN AUSTRHEIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063423

License Status

NOT RENEWED

Business

First Name

OWEN

Last Name

AUSTRHEIM

Suffix

Business Name

OWEN AUSTRHEIM MD

Original Issue Date

10/19/1981

Effective Date

10/19/1981

Expiration Date

07/01/1982

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006