HENRY S KRUEGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104966

License Status

NOT RENEWED

Business

First Name

HENRY

Middle

Last Name

KRUEGER

Suffix

Business Name

HENRY S KRUEGER MD

Original Issue Date

06/12/2001

Effective Date

06/12/2001

Expiration Date

07/31/2005

City

DECATUR

State

Zip

62525

County

MACON

Ever Disciplined

LastModifiedDate

09/11/2008