FREDRIK F BROEKHUIZEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068204

License Status

INACTIVE

Business

First Name

FREDRIK F

Last Name

BROEKHUIZEN

Suffix

Business Name

FREDRIK F BROEKHUIZEN MD

Original Issue Date

01/23/1984

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

WHITEFISH BAY

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/07/2011