CAROL KLETT VANCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

KLETT

Last Name

VANCE

Suffix

Business Name

CAROL KLETT VANCE MD

Original Issue Date

10/29/2003

Effective Date

10/29/2003

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008