MICHELLE ELIZABETH VAN KUIKEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062357

License Status

EXPIRED

Business

Title

First Name

MICHELLE

Middle

ELIZABETH

Last Name

VAN KUIKEN

Business Name

MICHELLE ELIZABETH VAN KUIKEN MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/19/2017