VAL Z EVALEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030064

License Status

EXPIRED

Business

First Name

VAL Z

Last Name

EVALEN

Business Name

VAL Z EVALEN

Original Issue Date

06/02/1993

Effective Date

06/02/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006