ROBERT ALLEN DE JONGE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062913

License Status

NOT RENEWED

Business

First Name

ROBERT ALLEN

Last Name

DE JONGE

Suffix

Business Name

ROBERT ALLEN DE JONGE DO

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

07/01/1982

City

GRAND RAPIDS

State

Zip

49504

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006