PETER MARTIN VANDENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073043

License Status

NOT RENEWED

Business

First Name

PETER MARTIN

Last Name

VANDENBERG

Suffix

Business Name

PETER MARTIN VANDENBERG MD

Original Issue Date

06/27/1986

Effective Date

06/27/1986

Expiration Date

07/31/1990

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

10/13/2009