MICHAEL T ECKSTROM Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091274

License Status

INACTIVE

Business

First Name

MICHAEL T

Last Name

ECKSTROM

Business Name

MICHAEL T ECKSTROM

Original Issue Date

07/13/1995

Effective Date

07/13/1995

Expiration Date

07/31/2002

City

ALBERT LEA

State

Zip

56007

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/09/2006