BETTY A VAN LEUVEN MD - Medical Doctor License in Wisconsin | # 036057481

BETTY A VAN LEUVEN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057481

License Status

NOT RENEWED

Business

N

First Name

BETTY

Middle

A

Last Name

VAN LEUVEN

Suffix

MD

Business Name

BETTY A VAN LEUVEN MD

Original Issue Date

08/21/1978

Effective Date

07/23/2014

Expiration Date

07/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

11/01/2017