ALICE JIANG VAN PELT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064605

License Status

CANCELLED

Business

Title

First Name

ALICE

Middle

JIANG

Last Name

VAN PELT

Business Name

ALICE JIANG VAN PELT MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

06/14/2017