VANCE LAUDERDALE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

VANCE

Last Name

LAUDERDALE

Suffix

Business Name

VANCE LAUDERDALE MD

Original Issue Date

06/25/1981

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023