MICHAEL K OUWENGA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110510

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

OUWENGA

Business Name

MICHAEL K OUWENGA

Original Issue Date

12/01/2003

Effective Date

04/26/2017

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

01/14/2021