EDWARD CHARLES VAN VOOREN DO - Medical Doctor License in Idaho | # 036096398

EDWARD CHARLES VAN VOOREN DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096398

License Status

INACTIVE

Business

N

First Name

EDWARD CHARLES

Last Name

VAN VOOREN

Suffix

DO

Business Name

EDWARD CHARLES VAN VOOREN DO

Original Issue Date

08/12/1997

Effective Date

08/12/1997

Expiration Date

07/31/1999

State

ID

Ever Disciplined

N

LastModifiedDate

09/01/2015