EMIL ETHAN EBNER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167890

License Status

ACTIVE

Business

Title

First Name

EMIL

Middle

ETHAN

Last Name

EBNER

Business Name

EMIL ETHAN EBNER DO

Original Issue Date

12/07/2023

Effective Date

12/07/2023

Expiration Date

07/31/2026

City

SAINT JOSEPH

State

Zip

49085

Ever Disciplined

LastModifiedDate

12/07/2023