LEONARD WILHELM VAN GELDER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****05

NOT RENEWED

N

LEONARD WILHELM

VAN GELDER

MD

LEONARD WILHELM VAN GELDER MD

11/24/1986

11/24/1986

07/31/1999

CALEDONIA

MI

49316

MICHIGAN

II III IV

N

09/26/2006