RAYMOND T FEDDERLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121945

License Status

NOT RENEWED

Business

First Name

RAYMOND

Middle

Last Name

FEDDERLY

Suffix

Business Name

RAYMOND T FEDDERLY MD

Original Issue Date

09/12/2008

Effective Date

09/12/2008

Expiration Date

07/31/2011

City

MILWAUKEE

State

Zip

53233

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2011