EMILY N ECKERSTROM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000704

License Status

EXPIRED

Business

Title

First Name

EMILY

Middle

Last Name

ECKERSTROM

Business Name

EMILY N ECKERSTROM MD

Original Issue Date

09/02/2016

Effective Date

09/02/2016

Expiration Date

03/01/2017

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/09/2017