EDITHA AGUSTIN KRUEGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156501

License Status

ACTIVE

Business

Title

First Name

EDITHA

Middle

AGUSTIN

Last Name

KRUEGER

Business Name

EDITHA AGUSTIN KRUEGER MD

Original Issue Date

04/09/2021

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

SISTER BAY

State

Zip

54234

Ever Disciplined

LastModifiedDate

07/18/2023