VIVIAN S VAN ROEKEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

VIVIAN S

Last Name

VAN ROEKEL

Suffix

Business Name

VIVIAN S VAN ROEKEL MD

Original Issue Date

07/14/1982

Effective Date

05/21/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2023