HERBERT F VANDENBERG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029028

License Status

EXPIRED

Business

First Name

HERBERT F

Last Name

VANDENBERG

Business Name

HERBERT F VANDENBERG

Original Issue Date

07/09/1992

Effective Date

07/09/1992

Expiration Date

07/07/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006