TIMOTHY R VADEBONCOUER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

VADEBONCOUER

Suffix

Business Name

TIMOTHY R VADEBONCOUER MD

Original Issue Date

04/25/2002

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023