AMANDA LEE DHUYVETTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

LEE

Last Name

DHUYVETTER

Business Name

AMANDA LEE DHUYVETTER MD

Original Issue Date

06/28/2016

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023