JAMES FRED VAN DAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012662

License Status

EXPIRED

Business

First Name

JAMES FRED

Last Name

VAN DAM

Business Name

JAMES FRED VAN DAM

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/24/1983

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006