DOUGLAS W KINGMA MD - Medical Doctor License in Tennessee | # 036126733

DOUGLAS W KINGMA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126733

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS

Middle

W

Last Name

KINGMA

Suffix

MD

Business Name

DOUGLAS W KINGMA MD

Original Issue Date

10/05/2010

Effective Date

07/31/2014

Expiration Date

07/31/2017

State

TN

Ever Disciplined

N

LastModifiedDate

11/01/2017