RUEMU EJEDAFETA BIRHIRAY Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088867

License Status

INACTIVE

Business

First Name

RUEMU

Middle

EJEDAFETA

Last Name

BIRHIRAY

Business Name

RUEMU EJEDAFETA BIRHIRAY

Original Issue Date

07/05/1994

Effective Date

07/05/1994

Expiration Date

07/31/1996

City

MARSHIELD

State

Zip

54449

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006