CORNELIS DEKKER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033952

License Status

INACTIVE

Business

First Name

CORNELIS

Last Name

DEKKER

Suffix

Business Name

CORNELIS DEKKER MD

Original Issue Date

03/14/1956

Effective Date

03/14/1956

Expiration Date

07/31/1987

City

GENOA CITY

State

Zip

53128

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006