RUSTAN JOEL VAN WYK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028624

License Status

EXPIRED

Business

First Name

RUSTAN JOEL

Last Name

VAN WYK

Suffix

Business Name

RUSTAN JOEL VAN WYK DO

Original Issue Date

06/05/1992

Effective Date

06/05/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

12/16/2014