LOREN DAVID ZUIDERVELD 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

LOREN

Middle

DAVID

Last Name

ZUIDERVELD

Business Name

LOREN DAVID ZUIDERVELD MD

Original Issue Date

01/15/2015

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023