LARYSA M MYKYTIUK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

LARYSA M

Last Name

MYKYTIUK

Suffix

Business Name

LARYSA M MYKYTIUK MD

Original Issue Date

07/30/1985

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023