KEVIN G DERUS MD - Medical Doctor License in Wisconsin | # 036081641

KEVIN G DERUS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081641

License Status

NOT RENEWED

Business

N

First Name

KEVIN G

Last Name

DERUS

Suffix

MD

Business Name

KEVIN G DERUS MD

Original Issue Date

10/27/1990

Effective Date

10/27/1990

Expiration Date

07/31/1993

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006