NGAN THI VAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033420

License Status

EXPIRED

Business

First Name

NGAN THI

Last Name

VAN

Suffix

Business Name

NGAN THI VAN MD

Original Issue Date

06/15/1995

Effective Date

06/15/1995

Expiration Date

06/21/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006