THERESA ANNE VAN GUNDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063253

License Status

NOT RENEWED

Business

First Name

THERESA ANNE

Last Name

VAN GUNDY

Suffix

Business Name

THERESA ANNE VAN GUNDY MD

Original Issue Date

09/17/1981

Effective Date

09/17/1981

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006