NANETTE L VANDEVENDER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018715

License Status

EXPIRED

Business

First Name

NANETTE L

Last Name

VANDEVENDER

Suffix

Business Name

NANETTE L VANDEVENDER DO

Original Issue Date

06/20/1985

Effective Date

06/20/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006