NATHAN THOMAS VAN DYK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050631

License Status

EXPIRED

Business

First Name

NATHAN

Middle

THOMAS

Last Name

VAN DYK

Suffix

Business Name

NATHAN THOMAS VAN DYK MD

Original Issue Date

04/17/2006

Effective Date

04/17/2006

Expiration Date

04/16/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/29/2009