JEFFERY STEPHEN VENDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

JEFFERY STEPHEN

Last Name

VENDER

Suffix

Business Name

JEFFERY STEPHEN VENDER MD

Original Issue Date

01/01/1997

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023