CLAUDIA MARIE VANDIVER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

CLAUDIA

Middle

MARIE

Last Name

VANDIVER

Business Name

CLAUDIA MARIE VANDIVER MD

Original Issue Date

10/14/2014

Effective Date

08/31/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/31/2023