RICHARD W BOERSMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

RICHARD W

Last Name

BOERSMA

Suffix

Business Name

RICHARD W BOERSMA MD

Original Issue Date

05/06/1988

Effective Date

05/06/1988

Expiration Date

07/31/1990

City

CHENOA

State

Zip

61726

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006