RENA BURLINGAME RENGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136535

License Status

NOT RENEWED

Business

Title

First Name

RENA

Middle

BURLINGAME

Last Name

RENGO

Business Name

RENA BURLINGAME RENGO MD

Original Issue Date

09/22/2014

Effective Date

09/22/2014

Expiration Date

07/31/2017

City

ADA

State

Zip

49301

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017