STEPHANIE L VAN COLEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047540

License Status

EXPIRED

Business

First Name

STEPHANIE

Middle

Last Name

VAN COLEN

Suffix

Business Name

STEPHANIE L VAN COLEN DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

10/30/2009

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

12/23/2009