JAMI MARIE EIDEM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129851

License Status

NOT RENEWED

Business

Title

First Name

JAMI

Middle

MARIE

Last Name

EIDEM

Business Name

JAMI MARIE EIDEM MD

Original Issue Date

03/27/2012

Effective Date

03/27/2012

Expiration Date

07/31/2014

City

FELTON

State

Zip

56536

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/17/2014