ALBERT LYLE VANNESS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

INACTIVE

Business

First Name

ALBERT LYLE

Last Name

VANNESS

Suffix

Business Name

ALBERT LYLE VANNESS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006