NAOMI REBECCA VANDERMISSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138934

License Status

NOT RENEWED

Business

Title

First Name

NAOMI

Middle

REBECCA

Last Name

VANDERMISSEN

Business Name

NAOMI REBECCA VANDERMISSEN MD

Original Issue Date

08/14/2015

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

OAKLAND TOWNSHIP

State

Zip

48306

Ever Disciplined

LastModifiedDate

01/14/2021