JEFFREY M DEVRIES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126266

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

DEVRIES

Business Name

JEFFREY M DEVRIES

Original Issue Date

07/15/2010

Effective Date

07/15/2010

Expiration Date

07/31/2011

City

WEST BLOOMFIELD

State

Zip

48322

Ever Disciplined

LastModifiedDate

11/14/2011