TIMOTHY C VAN DEUSEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023070

License Status

EXPIRED

Business

First Name

TIMOTHY C

Last Name

VAN DEUSEN

Business Name

TIMOTHY C VAN DEUSEN

Original Issue Date

07/21/1988

Effective Date

07/21/1988

Expiration Date

07/20/1991

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006