IRENE FEDOROVICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109806

License Status

ACTIVE

Business

First Name

IRENE

Last Name

FEDOROVICH

Suffix

Business Name

IRENE FEDOROVICH MD

Original Issue Date

07/30/2003

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/01/2023