TODD E VONDERHEIDE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

TODD E

Last Name

VONDERHEIDE

Business Name

TODD E VONDERHEIDE

Original Issue Date

09/06/1996

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023