PATRICIA A VANDER LAAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067049

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

VANDER LAAN

Suffix

Business Name

PATRICIA A VANDER LAAN MD

Original Issue Date

07/21/1983

Effective Date

07/21/1983

Expiration Date

07/31/1987

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006