AVAN B VANIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

AVAN B

Last Name

VANIA

Suffix

Business Name

AVAN B VANIA MD

Original Issue Date

10/02/1985

Effective Date

10/02/1985

Expiration Date

07/31/1999

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006