ERIC C BOUWENS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075353

License Status

INACTIVE

Business

First Name

ERIC C

Last Name

BOUWENS

Suffix

Business Name

ERIC C BOUWENS MD

Original Issue Date

06/29/1987

Effective Date

06/29/1987

Expiration Date

07/31/1993

City

GRAND RAPIDS

State

Zip

49546

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006