PATRICIA A VANDER LAAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014310

License Status

EXPIRED

Business

First Name

PATRICIA A

Last Name

VANDER LAAN

Suffix

Business Name

PATRICIA A VANDER LAAN MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006