DANIEL J VANDENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

DANIEL J

Last Name

VANDENBERG

Suffix

Business Name

DANIEL J VANDENBERG MD

Original Issue Date

07/13/1994

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023