CARLY VORMEZEELE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006927

License Status

ACTIVE

Business

First Name

CARLY

Last Name

VORMEZEELE

Business Name

CARLY VORMEZEELE

Original Issue Date

01/29/2019

Effective Date

01/29/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61114

Ever Disciplined

LastModifiedDate

01/29/2026