CHRISTINA ELLISON VANDENBOSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102209

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

ELLISON

Last Name

VANDENBOSCH

Suffix

Business Name

CHRISTINA ELLISON VANDENBOSCH MD

Original Issue Date

03/28/2000

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

MERCER ISLAND

State

Zip

98040

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/10/2015