DENNIS VANDEN BERGE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

CANCELLED

Business

Title

First Name

DENNIS

Last Name

VANDEN BERGE

Business Name

DENNIS VANDEN BERGE MD

Original Issue Date

05/28/2024

Effective Date

05/28/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2025