EDWARD G ESCHENBAUM JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040527

License Status

NOT RENEWED

Business

First Name

EDWARD G

Last Name

ESCHENBAUM JR

Suffix

Business Name

EDWARD G ESCHENBAUM JR MD

Original Issue Date

07/05/1966

Effective Date

07/05/1966

Expiration Date

07/01/1982

City

RICE LAKE

State

Zip

54868

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006