BYRON F VANDENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

BYRON

Middle

Last Name

VANDENBERG

Suffix

Business Name

BYRON F VANDENBERG MD

Original Issue Date

10/17/1997

Effective Date

10/17/1997

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006