DAPHNE L VANDER ROEST MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065354

License Status

CANCELLED

Business

Title

First Name

DAPHNE

Middle

Last Name

VANDER ROEST

Business Name

DAPHNE L VANDER ROEST MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/16/2014