KRISTOF THEODORE GEHRKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141800

License Status

NOT RENEWED

Business

Title

First Name

KRISTOF

Middle

THEODORE

Last Name

GEHRKE

Business Name

KRISTOF THEODORE GEHRKE MD

Original Issue Date

10/03/2016

Effective Date

10/03/2016

Expiration Date

07/31/2017

City

LA CROSSE

State

Zip

54601

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017