JEREMIAH JAMES DEWITT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163590

License Status

ACTIVE

Business

Title

First Name

JEREMIAH

Middle

JAMES

Last Name

DEWITT

Business Name

JEREMIAH JAMES DEWITT DO

Original Issue Date

02/07/2023

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

GRAND RAPIDS

State

Zip

49506

Ever Disciplined

LastModifiedDate

07/20/2023