AURELIAN S IVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000850

License Status

EXPIRED

Business

First Name

AURELIAN

Middle

Last Name

IVAN

Suffix

Business Name

AURELIAN S IVAN MD

Original Issue Date

11/28/2010

Effective Date

11/28/2010

Expiration Date

12/27/2010

City

ARLINGTON HEIGHTS

State

Zip

60005

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2011