KAYLA JANINE DMYTRUK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

KAYLA

Middle

JANINE

Last Name

DMYTRUK

Business Name

KAYLA JANINE DMYTRUK MD

Original Issue Date

08/10/2022

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/15/2024