BRIAN VAN LE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053504

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

VAN

Last Name

Business Name

BRIAN VAN LE MD

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

06/21/2012

City

MADISON

State

Zip

53705

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

08/29/2012