TAMITHA RAE VANSICKLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

TAMITHA

Middle

RAE

Last Name

VANSICKLE

Business Name

TAMITHA RAE VANSICKLE MD

Original Issue Date

11/20/2024

Effective Date

11/20/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/20/2024