ELLEN LUCILLE WICKLUND Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038009843

License Status

INACTIVE

Business

First Name

ELLEN

Middle

LUCILLE

Last Name

WICKLUND

Business Name

ELLEN LUCILLE WICKLUND

Original Issue Date

12/12/2002

Effective Date

12/12/2002

Expiration Date

07/31/2005

City

RONAN

State

Zip

59864

County

MONTANA

Ever Disciplined

LastModifiedDate

10/09/2006