LARS G OSTMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075540

License Status

INACTIVE

Business

First Name

LARS G

Last Name

OSTMAN

Suffix

Business Name

LARS G OSTMAN MD

Original Issue Date

08/01/1987

Effective Date

08/01/1987

Expiration Date

07/31/1990

City

FOND DU LAC

State

Zip

54935

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006