THOMAS RAY VANDER HEYDEN JR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050869

License Status

CANCELLED

Business

First Name

THOMAS

Middle

RAY

Last Name

VANDER HEYDEN

Suffix

JR DO

Business Name

THOMAS RAY VANDER HEYDEN JR DO

Original Issue Date

06/22/2006

Effective Date

06/22/2006

Expiration Date

06/21/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006