INDU M VENCE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032107

License Status

EXPIRED

Business

First Name

INDU M

Last Name

VENCE

Business Name

INDU M VENCE

Original Issue Date

07/02/1994

Effective Date

07/02/1994

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006