ASHLEY LAUREN VANZANT DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078527

License Status

CANCELLED

Business

Title

First Name

ASHLEY

Middle

LAUREN

Last Name

VANZANT

Business Name

ASHLEY LAUREN VANZANT DO

Original Issue Date

06/28/2021

Effective Date

06/28/2021

Expiration Date

06/27/2024

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/04/2021