JAN JOSEPH VLACH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013974

License Status

EXPIRED

Business

First Name

JAN JOSEPH

Last Name

VLACH

Suffix

Business Name

JAN JOSEPH VLACH MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/28/1984

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006