NGAN THI VAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096834

License Status

NOT RENEWED

Business

First Name

NGAN THI

Last Name

VAN

Suffix

Business Name

NGAN THI VAN MD

Original Issue Date

10/14/1997

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014