HANS VAN DEN BROEK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066407

License Status

INACTIVE

Business

First Name

HANS VAN DEN

Last Name

BROEK

Suffix

Business Name

HANS VAN DEN BROEK MD

Original Issue Date

04/20/1983

Effective Date

04/20/1983

Expiration Date

07/31/1987

City

HINES

State

Zip

60141

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006