TONY R VANCAUWELAERT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030423

License Status

EXPIRED

Business

First Name

TONY R

Last Name

VANCAUWELAERT

Suffix

Business Name

TONY R VANCAUWELAERT MD

Original Issue Date

06/22/1993

Effective Date

06/22/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006