DAVID P VAN DAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

DAVID

Middle

Last Name

VAN DAM

Suffix

Business Name

DAVID P VAN DAM MD

Original Issue Date

08/14/1990

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023