WENDY L VAN ITTERSUM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114901

License Status

NOT RENEWED

Business

First Name

WENDY

Middle

Last Name

VAN ITTERSUM

Business Name

WENDY L VAN ITTERSUM

Original Issue Date

11/22/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/06/2008