ROGER E HUIZENGA MD - Medical Doctor License in Wisconsin | # 036075966

ROGER E HUIZENGA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075966

License Status

INACTIVE

Business

N

First Name

ROGER E

Last Name

HUIZENGA

Suffix

MD

Business Name

ROGER E HUIZENGA MD

Original Issue Date

09/15/1987

Effective Date

09/15/1987

Expiration Date

07/31/1990

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006