WILLEM A HANEKOM Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094385

License Status

INACTIVE

Business

First Name

WILLEM A

Last Name

HANEKOM

Business Name

WILLEM A HANEKOM

Original Issue Date

10/19/1996

Effective Date

10/19/1996

Expiration Date

07/31/1999

City

MIAMI BEACH

State

Zip

33139

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006