BYRON F VANDENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096661

License Status

NOT RENEWED

Business

First Name

BYRON

Middle

Last Name

VANDENBERG

Suffix

Business Name

BYRON F VANDENBERG MD

Original Issue Date

09/08/1997

Effective Date

09/08/1997

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/01/2008