TODD E VONDERHEIDE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031185

License Status

EXPIRED

Business

First Name

TODD E

Last Name

VONDERHEIDE

Business Name

TODD E VONDERHEIDE

Original Issue Date

05/16/1994

Effective Date

05/16/1994

Expiration Date

06/30/1997

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006