HERBERT F VANDENBERG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089285

License Status

NOT RENEWED

Business

First Name

HERBERT F

Last Name

VANDENBERG

Business Name

HERBERT F VANDENBERG

Original Issue Date

07/30/1994

Effective Date

07/30/1994

Expiration Date

07/31/1999

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

2001004571

Action

Suspension

Discipline Start Date

01/13/2003

Discipline Reason

Failed to respond to a request for information from the Department in a timely manner.