JULIE DAN-PHUONG VAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046043

License Status

CANCELLED

Business

First Name

JULIE

Middle

DAN-PHUONG

Last Name

VAN

Suffix

Business Name

JULIE DAN-PHUONG VAN DO

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006