STACI LYNN VANDERJACK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136063

License Status

ACTIVE

Business

Title

First Name

STACI

Middle

LYNN

Last Name

VANDERJACK

Business Name

STACI LYNN VANDERJACK MD

Original Issue Date

07/28/2014

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2023