SCHALOM P VAN BEMMELEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027172

License Status

EXPIRED

Business

First Name

SCHALOM

Middle

Last Name

VAN BEMMELEN

Business Name

SCHALOM P VAN BEMMELEN

Original Issue Date

06/13/1991

Effective Date

06/13/1991

Expiration Date

06/30/1993

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Vascular Surgery

Ever Disciplined

LastModifiedDate

09/22/2006