DANIEL LEE BOUWMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105384

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

LEE

Last Name

BOUWMAN

Suffix

Business Name

DANIEL LEE BOUWMAN MD

Original Issue Date

08/09/2001

Effective Date

08/09/2001

Expiration Date

07/31/2005

City

KALAMAZOO

State

Zip

49009

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006