CHARLES S VANDYKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061447

License Status

NOT RENEWED

Business

First Name

CHARLES S

Last Name

VANDYKE

Suffix

Business Name

CHARLES S VANDYKE MD

Original Issue Date

12/29/1980

Effective Date

08/27/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61614

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/30/2023