TIMOTHY VELLINGA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091494

License Status

INACTIVE

Business

First Name

TIMOTHY

Last Name

VELLINGA

Suffix

Business Name

TIMOTHY VELLINGA MD

Original Issue Date

07/31/1995

Effective Date

07/31/1995

Expiration Date

07/31/2002

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006