HENRY LOUIS WILDBERGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031604

License Status

NOT RENEWED

Business

First Name

HENRY LOUIS

Last Name

WILDBERGER

Suffix

Business Name

HENRY LOUIS WILDBERGER MD

Original Issue Date

09/05/1952

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014