ALYSSA F VAN DYK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132792

License Status

NOT RENEWED

Business

Title

First Name

ALYSSA

Middle

Last Name

VAN DYK

Business Name

ALYSSA F VAN DYK MD

Original Issue Date

05/08/2013

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2019011133

Action

Suspension

Discipline Start Date

01/31/2020

Discipline End Date

03/10/2020

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 03/11/2020.