EDWARD LOUIS EBERT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066359

License Status

NOT RENEWED

Business

First Name

EDWARD LOUIS

Last Name

EBERT

Suffix

Business Name

EDWARD LOUIS EBERT DO

Original Issue Date

04/11/1983

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHIPPEWA FALLS

State

Zip

54729

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/06/2008