ERIC DONALD DICHSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092461

License Status

INACTIVE

Business

First Name

ERIC DONALD

Last Name

DICHSEN

Suffix

Business Name

ERIC DONALD DICHSEN MD

Original Issue Date

02/27/1996

Effective Date

02/27/1996

Expiration Date

07/31/2002

City

TOMAHAWK

State

Zip

54487

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006