JON DIRK VAN ROO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122287

License Status

NOT RENEWED

Business

First Name

JON

Middle

DIRK

Last Name

VAN ROO

Suffix

Business Name

JON DIRK VAN ROO MD

Original Issue Date

12/04/2008

Effective Date

05/29/2014

Expiration Date

07/31/2017

City

HARTLAND

State

Zip

53029

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017