JAMES M VANDAALEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069618

License Status

INACTIVE

Business

First Name

JAMES M

Last Name

VANDAALEN

Suffix

Business Name

JAMES M VANDAALEN MD

Original Issue Date

10/09/1984

Effective Date

10/09/1984

Expiration Date

07/31/1990

City

LOUISVILLE

State

Zip

40241

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006