License holder summary

KATHLEEN E VAN DE WALLE is a Osteopathic Physician (Do) - Osteopathic Physician licensed to practice in Michigan. The address on file for KATHLEEN E VAN DE WALLE is Lemmon, SD 57638. This licensed professional license is not current. The license was granted 07/14/1983 and expired on 12/31/1983.

Michigan

Department of Licensing and Regulation

KATHLEEN E VAN DE WALLE
Osteopathic Physician (Do) - Osteopathic Physician
License number
5101008229
Date granted
07/14/1983
Date expires
12/31/1983
Class
Osteopathic Physician (Do) - Osteopathic Physician
Status
Lapsed
Address
Lemmon, SD 57638
michiganlicensing.org
ID 25889248
LAST UPDATED 2024-04-25 05:50:24 UTC

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