PHILIP J VAN REKEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

PHILIP J

Last Name

VAN REKEN

Suffix

Business Name

PHILIP J VAN REKEN MD

Original Issue Date

03/26/1985

Effective Date

08/19/2020

Expiration Date

07/31/2023

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023