AN TRANVAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028057

License Status

EXPIRED

Business

First Name

Last Name

TRANVAN

Business Name

AN TRANVAN

Original Issue Date

05/13/1992

Effective Date

05/13/1992

Expiration Date

06/22/1996

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006