DANIEL J VANDENBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026989

License Status

EXPIRED

Business

First Name

DANIEL J

Last Name

VANDENBERG

Suffix

Business Name

DANIEL J VANDENBERG MD

Original Issue Date

05/29/1991

Effective Date

05/29/1991

Expiration Date

06/21/1994

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006