O EDMUND VANALYEA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036010791

License Status

NOT RENEWED

Business

First Name

O EDMUND

Last Name

VANALYEA

Suffix

Business Name

O EDMUND VANALYEA MD

Original Issue Date

01/01/1997

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006