THOMAS RAY VANDER HEYDEN JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122738

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

RAY

Last Name

VANDER HEYDEN

Suffix

JR DO

Business Name

THOMAS RAY VANDER HEYDEN JR DO

Original Issue Date

03/02/2009

Effective Date

04/27/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014