LEE DOUGLAS VANANTWERP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031216

License Status

NOT RENEWED

Business

First Name

LEE DOUGLAS

Last Name

VANANTWERP

Suffix

Business Name

LEE DOUGLAS VANANTWERP MD

Original Issue Date

03/07/1952

Effective Date

03/07/1952

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006