DAVID JAMES VANDERWEELE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052694

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

JAMES

Last Name

VANDERWEELE

Business Name

DAVID JAMES VANDERWEELE MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Hematology & Oncology

Ever Disciplined

LastModifiedDate

07/08/2010