AN VAN LE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079017

License Status

EXPIRED

Business

Title

First Name

Middle

VAN

Last Name

Business Name

AN VAN LE MD

Original Issue Date

06/26/2021

Effective Date

06/26/2021

Expiration Date

06/25/2024

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024