HUIBERT MICHIEL VRIESENDORP MD - Medical Doctor License in New York | # 036061681

HUIBERT MICHIEL VRIESENDORP MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061681

License Status

NOT RENEWED

Business

N

First Name

HUIBERT

Middle

MICHIEL

Last Name

VRIESENDORP

Suffix

MD

Business Name

HUIBERT MICHIEL VRIESENDORP MD

Original Issue Date

02/27/1981

Effective Date

11/26/2007

Expiration Date

07/31/2008

State

NY

Ever Disciplined

N

LastModifiedDate

11/06/2008