EDWARD CHARLES VAN VOOREN DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096398

License Status

INACTIVE

Business

First Name

EDWARD CHARLES

Last Name

VAN VOOREN

Suffix

Business Name

EDWARD CHARLES VAN VOOREN DO

Original Issue Date

08/12/1997

Effective Date

08/12/1997

Expiration Date

07/31/1999

City

SANDPOINT

State

Zip

83864

County

IDAHO

Ever Disciplined

LastModifiedDate

09/01/2015