ALYSSA M VERMEULEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142574

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

Last Name

VERMEULEN

Business Name

ALYSSA M VERMEULEN

Original Issue Date

03/06/2017

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60607

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/14/2021