LE ROY ALFRED ECKLUND MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034890

License Status

INACTIVE

Business

First Name

LE ROY ALFRED

Last Name

ECKLUND

Suffix

Business Name

LE ROY ALFRED ECKLUND MD

Original Issue Date

08/22/1957

Effective Date

08/22/1957

Expiration Date

07/31/1987

City

MADISON

State

Zip

53704

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006