LOWIE MICHEL ROGER VAN ASSCHE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139213

License Status

NOT RENEWED

Business

Title

First Name

LOWIE

Middle

MICHEL ROGER

Last Name

VAN ASSCHE

Business Name

LOWIE MICHEL ROGER VAN ASSCHE MD

Original Issue Date

10/05/2015

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021