JEFFREY M VAN BENDEGOM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038780

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

Last Name

VAN BENDEGOM

Suffix

Business Name

JEFFREY M VAN BENDEGOM MD

Original Issue Date

08/01/1998

Effective Date

08/01/1998

Expiration Date

07/31/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006