THANH T VAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030724

License Status

EXPIRED

Business

First Name

THANH

Middle

Last Name

VAN

Suffix

Business Name

THANH T VAN MD

Original Issue Date

08/19/1993

Effective Date

08/19/1993

Expiration Date

08/17/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

09/22/2006