ELISABETH I WALLNER MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617240

License Status

NOT RENEWED

Business

Business Name

ELISABETH I WALLNER MD SC

Original Issue Date

11/22/2000

Effective Date

10/07/2008

Expiration Date

01/01/2010

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2010