MARYALICE ROOZE VANDERKOOI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

MARYALICE ROOZE

Last Name

VANDERKOOI

Suffix

Business Name

MARYALICE ROOZE VANDERKOOI MD

Original Issue Date

01/01/1997

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021