MIMI EVADNE VAN DER LEDEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094728

License Status

ACTIVE

Business

Title

First Name

MIMI

Middle

EVADNE

Last Name

VAN DER LEDEN

Business Name

MIMI EVADNE VAN DER LEDEN MD

Original Issue Date

01/30/1997

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

03/19/2024