CRAIG ALAN VICKSTROM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000143

License Status

EXPIRED

Business

First Name

CRAIG

Middle

ALAN

Last Name

VICKSTROM

Suffix

Business Name

CRAIG ALAN VICKSTROM MD

Original Issue Date

02/01/2001

Effective Date

02/01/2001

Expiration Date

06/30/2001

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006