PHILIP C ECKSTROM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091441

License Status

NOT RENEWED

Business

First Name

PHILIP C

Last Name

ECKSTROM

Business Name

PHILIP C ECKSTROM

Original Issue Date

07/27/1995

Effective Date

07/27/1995

Expiration Date

07/31/1999

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006