BROOK VAN HAMM WIERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102213

License Status

NOT RENEWED

Business

First Name

BROOK

Middle

VAN HAMM

Last Name

WIERS

Suffix

Business Name

BROOK VAN HAMM WIERS MD

Original Issue Date

03/29/2000

Effective Date

03/29/2000

Expiration Date

07/31/2002

City

HULL

State

Zip

02045

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

08/06/2009

Case Number

2009003645

Action

Refuse To Renew

Discipline Start Date

08/06/2009