HUIBERT MICHIEL VRIESENDORP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061681

License Status

NOT RENEWED

Business

First Name

HUIBERT

Middle

MICHIEL

Last Name

VRIESENDORP

Suffix

Business Name

HUIBERT MICHIEL VRIESENDORP MD

Original Issue Date

02/27/1981

Effective Date

11/26/2007

Expiration Date

07/31/2008

City

SYRACUSE

State

Zip

13207

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/06/2008