STEVEN M BETTAG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083735

License Status

NOT RENEWED

Business

First Name

STEVEN M

Last Name

BETTAG

Suffix

Business Name

STEVEN M BETTAG MD

Original Issue Date

11/13/1991

Effective Date

11/13/1991

Expiration Date

07/31/2005

City

SHEBOYGAN

State

Zip

53083

Ever Disciplined

LastModifiedDate

10/09/2006