KRISTIN MARIE VAN GENDEREN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140063

License Status

ACTIVE

Business

Title

First Name

KRISTIN

Middle

MARIE

Last Name

VAN GENDEREN

Business Name

KRISTIN MARIE VAN GENDEREN MD

Original Issue Date

03/17/2016

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/16/2023