BETTY A VAN LEUVEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057481

License Status

NOT RENEWED

Business

First Name

BETTY

Middle

Last Name

VAN LEUVEN

Suffix

Business Name

BETTY A VAN LEUVEN MD

Original Issue Date

08/21/1978

Effective Date

07/23/2014

Expiration Date

07/31/2017

City

MADISON

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017