NGAN THI VAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

NGAN THI

Last Name

VAN

Suffix

Business Name

NGAN THI VAN MD

Original Issue Date

12/23/1997

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014