DARREN BLAIR VAN BEEK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059162

License Status

CANCELLED

Business

Title

First Name

DARREN

Middle

BLAIR

Last Name

VAN BEEK

Business Name

DARREN BLAIR VAN BEEK MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60616

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/24/2014