CARMEN I FEDEROWICH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088244

License Status

INACTIVE

Business

First Name

CARMEN I

Last Name

FEDEROWICH

Suffix

Business Name

CARMEN I FEDEROWICH MD

Original Issue Date

04/06/1994

Effective Date

04/06/1994

Expiration Date

07/31/2005

City

MONROE CITY

State

Zip

63456

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006