HANS H VAN DER VEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

HANS H

Last Name

VAN DER VEN

Suffix

Business Name

HANS H VAN DER VEN MD

Original Issue Date

09/10/1991

Effective Date

09/10/1991

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006