ROBERT WAYNE VAN BOVEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034234

License Status

CANCELLED

Business

First Name

ROBERT

Middle

WAYNE

Last Name

VAN BOVEN

Suffix

Business Name

ROBERT WAYNE VAN BOVEN MD

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

02/07/2001

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006