AMY WEATHERWAX VANDENBROOK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

AMY

Middle

WEATHERWAX

Last Name

VANDENBROOK

Suffix

Business Name

AMY WEATHERWAX VANDENBROOK MD

Original Issue Date

07/12/2001

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023