DOUGLAS W KINGMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126733

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

KINGMA

Suffix

Business Name

DOUGLAS W KINGMA MD

Original Issue Date

10/05/2010

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

MEMPHIS

State

Zip

38111

County

TENNESSEE

Ever Disciplined

LastModifiedDate

11/01/2017