LARRY GEORGE FICKENSCHER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042507

License Status

INACTIVE

Business

First Name

LARRY GEORGE

Last Name

FICKENSCHER

Suffix

Business Name

LARRY GEORGE FICKENSCHER MD

Original Issue Date

07/01/1969

Effective Date

07/01/1969

Expiration Date

07/31/1987

City

EUGENE

State

Zip

97405

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006