NANCY VAN VESSEM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071020

License Status

INACTIVE

Business

First Name

NANCY

Last Name

VAN VESSEM

Suffix

Business Name

NANCY VAN VESSEM MD

Original Issue Date

06/24/1985

Effective Date

06/24/1985

Expiration Date

07/31/1987

City

WEST LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006