ARIE B J GROENEVELD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015085

License Status

EXPIRED

Business

First Name

ARIE B

Middle

Last Name

GROENEVELD

Business Name

ARIE B J GROENEVELD

Original Issue Date

12/20/1982

Effective Date

12/20/1982

Expiration Date

01/01/1985

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006