DAVID MARC PEEREBOOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107981

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

MARC

Last Name

PEEREBOOM

Suffix

Business Name

DAVID MARC PEEREBOOM MD

Original Issue Date

10/08/2002

Effective Date

10/08/2002

Expiration Date

07/31/2005

City

CLEVELAND

State

Zip

44195

County

OHIO

Ever Disciplined

LastModifiedDate

10/09/2006