TIMOTHY W BOERSMA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126968

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

Last Name

BOERSMA

Business Name

TIMOTHY W BOERSMA DO

Original Issue Date

12/13/2010

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

SHANNON

State

Zip

61078

County

GRUNDY

Ever Disciplined

LastModifiedDate

01/14/2021