TIMOTHY GERARD VANDENBOOM MD - Medical Doctor License in Michigan | # 036137899

TIMOTHY GERARD VANDENBOOM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137899

License Status

NOT RENEWED

Business

N

Title

MD

First Name

TIMOTHY

Middle

GERARD

Last Name

VANDENBOOM

Business Name

TIMOTHY GERARD VANDENBOOM MD

Original Issue Date

05/01/2015

Effective Date

08/06/2020

Expiration Date

07/31/2023

State

MI

Ever Disciplined

N

LastModifiedDate

11/30/2023