KENNETH DAY LANGE DO - Medical Doctor License in Michigan | # 036042655

KENNETH DAY LANGE DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042655

License Status

NOT RENEWED

Business

N

First Name

KENNETH DAY

Last Name

LANGE

Suffix

DO

Business Name

KENNETH DAY LANGE DO

Original Issue Date

07/11/1969

Effective Date

07/11/1969

State

MI

Ever Disciplined

N

LastModifiedDate

09/20/2006