ROGER NEAL WASSINK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038592

License Status

INACTIVE

Business

First Name

ROGER NEAL

Last Name

WASSINK

Suffix

Business Name

ROGER NEAL WASSINK MD

Original Issue Date

09/06/1963

Effective Date

09/06/1963

Expiration Date

07/31/1990

City

GRAND RAPIDS

State

Zip

49502

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006