ELLEN MARIE JANSYN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065099

License Status

NOT RENEWED

Business

First Name

ELLEN MARIE

Last Name

JANSYN

Suffix

Business Name

ELLEN MARIE JANSYN MD

Original Issue Date

08/13/1982

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

SOUTH HAVEN

State

Zip

49090

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017