VAN EVANOFF JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139788

License Status

NOT RENEWED

Business

Title

First Name

VAN

Last Name

EVANOFF

Suffix

Business Name

VAN EVANOFF JR MD

Original Issue Date

02/18/2016

Effective Date

02/18/2016

Expiration Date

07/31/2017

City

BROWNSBURG

State

Zip

46112

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017