DAVID ALAN VERMYLEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

DAVID

Middle

ALAN

Last Name

VERMYLEN

Suffix

Business Name

DAVID ALAN VERMYLEN MD

Original Issue Date

07/03/2013

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60604

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023