ALBERT LYLE VANNESS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031591

License Status

INACTIVE

Business

First Name

ALBERT LYLE

Last Name

VANNESS

Suffix

Business Name

ALBERT LYLE VANNESS MD

Original Issue Date

09/03/1952

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/29/2008