DOUGLAS J WALVOORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042621

License Status

NOT RENEWED

Business

First Name

DOUGLAS J

Last Name

WALVOORD

Suffix

Business Name

DOUGLAS J WALVOORD MD

Original Issue Date

07/01/1969

Effective Date

07/01/1969

City

GRAND HAVEN

State

Zip

49417

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006