SETH GREGORY VAN HEUKELOM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146540

License Status

NOT RENEWED

Business

Title

First Name

SETH

Middle

GREGORY

Last Name

VAN HEUKELOM

Business Name

SETH GREGORY VAN HEUKELOM DO

Original Issue Date

06/22/2018

Effective Date

06/18/2020

Expiration Date

07/31/2023

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/30/2023