TIMOTHY C VAN DEUSEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081196

License Status

NOT RENEWED

Business

First Name

TIMOTHY C

Last Name

VAN DEUSEN

Business Name

TIMOTHY C VAN DEUSEN

Original Issue Date

07/27/1990

Effective Date

07/27/1990

Expiration Date

07/31/1993

City

SAN FRANCISCO

State

Zip

94104

Ever Disciplined

LastModifiedDate

06/30/2010