KARIN E VANDER PLOEG BOOTH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111555

License Status

ACTIVE

Business

First Name

KARIN

Middle

Last Name

VANDER PLOEG BOOTH

Business Name

KARIN E VANDER PLOEG BOOTH

Original Issue Date

06/07/2004

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/26/2023