DAVID JAMES VANDERWEELE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

JAMES

Last Name

VANDERWEELE

Business Name

DAVID JAMES VANDERWEELE MD

Original Issue Date

07/08/2009

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023