ANTHONY J VAN GOOR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014308

License Status

EXPIRED

Business

First Name

ANTHONY

Middle

Last Name

VAN GOOR

Business Name

ANTHONY J VAN GOOR

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

BERWYN

State

Zip

60134

County

KANE

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006