AMYE JULIET TEVAARWERK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

AMYE

Middle

JULIET

Last Name

TEVAARWERK

Business Name

AMYE JULIET TEVAARWERK MD

Original Issue Date

10/06/2011

Effective Date

10/06/2011

Expiration Date

07/31/2014

City

MADISON

State

Zip

53705

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014