MARGARET INGRID FAGERHOLM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101724

License Status

INACTIVE

Business

First Name

MARGARET

Middle

INGRID

Last Name

FAGERHOLM

Suffix

Business Name

MARGARET INGRID FAGERHOLM MD

Original Issue Date

12/16/1999

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MADISON

State

Zip

53715

Ever Disciplined

LastModifiedDate

04/17/2008