EVAN MICHAEL KRUEGER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065866

License Status

CANCELLED

Business

First Name

EVAN

Middle

MICHAEL

Last Name

KRUEGER

Suffix

Business Name

EVAN MICHAEL KRUEGER DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

NEENAH

State

Zip

54956

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

06/13/2014