MICHAEL IAN VENDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

MICHAEL IAN

Last Name

VENDER

Suffix

Business Name

MICHAEL IAN VENDER MD

Original Issue Date

09/10/1996

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020