STEPHEN A VAN HAERENTS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

STEPHEN

Middle

Last Name

VAN HAERENTS

Business Name

STEPHEN A VAN HAERENTS MD

Original Issue Date

04/24/2014

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023