AEBELE B MINK VAN DER MOLEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021493

License Status

EXPIRED

Business

First Name

AEBELE B

Last Name

MINK VAN DER MOLEN

Business Name

AEBELE B MINK VAN DER MOLEN

Original Issue Date

06/29/1987

Effective Date

06/29/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006