ERIK PETER EVENSEN DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107744

License Status

INACTIVE

Business

First Name

ERIK

Middle

PETER

Last Name

EVENSEN

Suffix

Business Name

ERIK PETER EVENSEN DO

Original Issue Date

08/26/2002

Effective Date

08/26/2002

Expiration Date

07/31/2005

City

LAS VEGAS

State

Zip

89149

County

NEVADA

Ever Disciplined

LastModifiedDate

10/09/2006