CARYN JEAN VANDENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152511

License Status

NOT RENEWED

Business

Title

First Name

CARYN

Middle

JEAN

Last Name

VANDENBERG

Business Name

CARYN JEAN VANDENBERG MD

Original Issue Date

04/08/2020

Effective Date

04/08/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023