VITA J LAND Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087908

License Status

INACTIVE

Business

First Name

VITA J

Last Name

LAND

Business Name

VITA J LAND

Original Issue Date

01/10/1994

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2008