CHRISTINA ELLISON VANDENBOSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

ELLISON

Last Name

VANDENBOSCH

Suffix

Business Name

CHRISTINA ELLISON VANDENBOSCH MD

Original Issue Date

09/04/2001

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014