KENNETH SCOTT HEERINGA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168946

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

SCOTT

Last Name

HEERINGA

Business Name

KENNETH SCOTT HEERINGA DO

Original Issue Date

02/26/2024

Effective Date

02/26/2024

Expiration Date

07/31/2026

City

WYOMING

State

Zip

49418

Ever Disciplined

LastModifiedDate

02/26/2024