FREDRIK F BROEKHUIZEN MD - Medical Doctor License in Wisconsin | # 036068204

FREDRIK F BROEKHUIZEN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068204

License Status

INACTIVE

Business

N

First Name

FREDRIK F

Last Name

BROEKHUIZEN

Suffix

MD

Business Name

FREDRIK F BROEKHUIZEN MD

Original Issue Date

01/23/1984

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

WI

Ever Disciplined

N

LastModifiedDate

04/07/2011