SUSAN VANDERBERG DENT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059934

License Status

NOT RENEWED

Business

First Name

SUSAN VANDERBERG

Last Name

DENT

Suffix

Business Name

SUSAN VANDERBERG DENT MD

Original Issue Date

01/11/1980

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017