ERIC W NEWGENT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081994

License Status

NOT RENEWED

Business

First Name

ERIC W

Last Name

NEWGENT

Suffix

Business Name

ERIC W NEWGENT DO

Original Issue Date

01/08/1991

Effective Date

01/08/1991

Expiration Date

07/31/1996

City

BARABOO

State

Zip

53913

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2011