ALYSSA F VAN DYK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056999

License Status

CANCELLED

Business

Title

First Name

ALYSSA

Middle

Last Name

VAN DYK

Business Name

ALYSSA F VAN DYK MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/29/2012