EWELINA M WORWAG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075229

License Status

NOT RENEWED

Business

First Name

EWELINA M

Last Name

WORWAG

Business Name

EWELINA M WORWAG

Original Issue Date

06/22/1987

Effective Date

06/22/1987

Expiration Date

07/31/2005

City

ELKHART

State

Zip

46516

Ever Disciplined

LastModifiedDate

04/17/2007