PIETER JOHN VANDERLIJN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036217

License Status

EXPIRED

Business

First Name

PIETER

Middle

JOHN

Last Name

VANDERLIJN

Suffix

Business Name

PIETER JOHN VANDERLIJN MD

Original Issue Date

05/21/1997

Effective Date

05/21/1997

Expiration Date

06/30/2000

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006