BURTON F VANDERLAAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

BURTON F

Last Name

VANDERLAAN

Business Name

BURTON F VANDERLAAN

Original Issue Date

01/01/1997

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

WYOMING

State

Zip

49418

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014