Credential Lookup

Credential Summary - Relationships

Credential Summary for 21454-20
Name: Broekhuizen, Fredrik F
Credential Type: MEDICINE AND SURGERY (20)
Credential Number: 21454-20
Location: WHITEFISH BAY, WI
License Type: regular
Status License is not current (Expired)
Eligible To Practice: Not Eligible to Practice
First Fee Received: NO

DetailsRequirementsPaymentsOrdersRelationships
Current Relationships (Individuals and Firms)
Individuals
Name Location Relationship Start Date
LAUTERBACH JEAN MENOMONEE FALLS, WI PHYSASSTNT - MD 03/02/2014


Firms
Name Location Relationship Start Date


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