ROBERTA ASHLEY EKHOLM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062975

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

ASHLEY

Last Name

EKHOLM

Suffix

Business Name

ROBERTA ASHLEY EKHOLM DO

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

07/01/1982

City

MOBRIDGE

State

Zip

57601

Ever Disciplined

LastModifiedDate

07/07/2015

Case Number

2007006798

Action

Refuse To Renew

Discipline Start Date

12/24/2007

Discipline Reason

after being disciplined in the state of Oregon.