VANDA RAE FICKEL NIEMI Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097507

License Status

INACTIVE

Business

First Name

VANDA RAE

Middle

FICKEL

Last Name

NIEMI

Business Name

VANDA RAE FICKEL NIEMI

Original Issue Date

03/19/1998

Effective Date

03/19/1998

Expiration Date

07/31/2002

City

MINNEAPOLIS

State

Zip

55406

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/09/2006