JACQUES VANDAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000176

License Status

EXPIRED

Business

First Name

JACQUES

Last Name

VANDAM

Business Name

JACQUES VANDAM

Original Issue Date

10/07/2002

Effective Date

10/07/2002

Expiration Date

05/21/2003

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006