DAVID RICHARD VANDERSTEEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

RICHARD

Last Name

VANDERSTEEN

Business Name

DAVID RICHARD VANDERSTEEN MD

Original Issue Date

04/16/2020

Effective Date

08/31/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/31/2023