LISA MARRIE VAN HOFWEGEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000218

License Status

EXPIRED

Business

First Name

LISA

Middle

MARRIE

Last Name

VAN HOFWEGEN

Business Name

LISA MARRIE VAN HOFWEGEN

Original Issue Date

08/01/2005

Effective Date

08/01/2005

Expiration Date

01/31/2006

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006