LARRY VANGENDEREN MD - Medical Doctor License in Wyoming | # 036042200

LARRY VANGENDEREN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042200

License Status

NOT RENEWED

Business

N

First Name

LARRY

Last Name

VANGENDEREN

Suffix

MD

Business Name

LARRY VANGENDEREN MD

Original Issue Date

10/23/1968

Effective Date

10/23/1968

State

WY

Ever Disciplined

N

LastModifiedDate

09/20/2006