BYRON MARK VANCE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036270

License Status

EXPIRED

Business

First Name

BYRON

Middle

MARK

Last Name

VANCE

Suffix

Business Name

BYRON MARK VANCE MD

Original Issue Date

05/21/1997

Effective Date

05/21/1997

Expiration Date

06/30/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/30/2015