DAVID DALE VANDERKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109875

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

DALE

Last Name

VANDERKIN

Suffix

Business Name

DAVID DALE VANDERKIN MD

Original Issue Date

08/06/2003

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

STEVENS POINT

State

Zip

54482

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021