ANNIKA EVENHOUSE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080133

License Status

EXPIRED

Business

Title

First Name

ANNIKA

Last Name

EVENHOUSE

Business Name

ANNIKA EVENHOUSE DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2025