JAMES MORRELL VANDERPLOEG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

CANCELLED

Business

First Name

JAMES MORRELL

Last Name

VANDERPLOEG

Suffix

Business Name

JAMES MORRELL VANDERPLOEG MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006