MICHAEL KEITH AUGUSTSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062965

License Status

NOT RENEWED

Business

First Name

MICHAEL KEITH

Last Name

AUGUSTSON

Suffix

Business Name

MICHAEL KEITH AUGUSTSON MD

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

07/31/1987

City

BEAVER DAM

State

Zip

53916

Ever Disciplined

LastModifiedDate

09/20/2006