DARL K VANDEVENDER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019924

License Status

EXPIRED

Business

First Name

DARL

Middle

Last Name

VANDEVENDER

Suffix

Business Name

DARL K VANDEVENDER MD

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

07/01/1989

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006