RALPH THOS VANTUYL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036015252

License Status

NOT RENEWED

Business

First Name

RALPH THOS

Last Name

VANTUYL

Suffix

Business Name

RALPH THOS VANTUYL MD

Original Issue Date

06/19/1923

Effective Date

06/19/1923

City

MT. PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006