ANTHONY SEBASTIAN EKONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107903

License Status

INACTIVE

Business

First Name

ANTHONY

Middle

SEBASTIAN

Last Name

EKONG

Suffix

Business Name

ANTHONY SEBASTIAN EKONG MD

Original Issue Date

09/20/2002

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

MAPLE GROVE

State

Zip

55369

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/12/2017