DIRK R DEHAAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110274

License Status

ACTIVE

Business

First Name

DIRK

Middle

Last Name

DEHAAS

Suffix

Business Name

DIRK R DEHAAS MD

Original Issue Date

10/10/2003

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

SAN JUAN CAPISTRANO

State

Zip

92675

Ever Disciplined

LastModifiedDate

04/12/2023