CALEB BENJAMIN VANDYKE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079173

License Status

CANCELLED

Business

Title

First Name

CALEB

Middle

BENJAMIN

Last Name

VANDYKE

Business Name

CALEB BENJAMIN VANDYKE MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

01/04/2022