MIENTJE AGATHA B DEVRYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040071

License Status

NOT RENEWED

Business

Title

First Name

MIENTJE

Middle

AGATHA B

Last Name

DEVRYER

Business Name

MIENTJE AGATHA B DEVRYER MD

Original Issue Date

11/22/1965

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014