DEREK VAN AMERONGEN MD - Medical Doctor License in Ohio | # 036060662

DEREK VAN AMERONGEN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060662

License Status

INACTIVE

Business

N

First Name

DEREK

Last Name

VAN AMERONGEN

Suffix

MD

Business Name

DEREK VAN AMERONGEN MD

Original Issue Date

07/25/1980

Effective Date

07/25/1980

Expiration Date

07/31/1990

State

OH

Ever Disciplined

N

LastModifiedDate

09/20/2006