DEREK VAN AMERONGEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060662

License Status

INACTIVE

Business

First Name

DEREK

Last Name

VAN AMERONGEN

Suffix

Business Name

DEREK VAN AMERONGEN MD

Original Issue Date

07/25/1980

Effective Date

07/25/1980

Expiration Date

07/31/1990

City

CINCINNATI

State

Zip

45244

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006