ANK ELISABETH VRIESENDORP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111641

License Status

NOT RENEWED

Business

First Name

ANK

Middle

ELISABETH

Last Name

VRIESENDORP

Suffix

Business Name

ANK ELISABETH VRIESENDORP MD

Original Issue Date

06/19/2004

Effective Date

06/19/2004

Expiration Date

07/31/2005

City

DALLAS

State

Zip

75219

Ever Disciplined

LastModifiedDate

09/19/2007