ROGER E HUIZENGA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075966

License Status

INACTIVE

Business

First Name

ROGER E

Last Name

HUIZENGA

Suffix

Business Name

ROGER E HUIZENGA MD

Original Issue Date

09/15/1987

Effective Date

09/15/1987

Expiration Date

07/31/1990

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006