IDA M ULDBJERG DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038006030

License Status

INACTIVE

Business

First Name

IDA M

Last Name

ULDBJERG

Suffix

Business Name

IDA M ULDBJERG DC

Original Issue Date

09/05/1987

Effective Date

09/05/1987

Expiration Date

07/31/1993

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

09/21/2006