EMILY CLARK WHITE VANGOMPEL 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

Title

First Name

EMILY

Middle

CLARK

Last Name

WHITE VANGOMPEL

Business Name

EMILY CLARK WHITE VANGOMPEL MD

Original Issue Date

08/26/2016

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023