LARRY JOHN WIKHOLM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042929

License Status

NOT RENEWED

Business

First Name

LARRY JOHN

Last Name

WIKHOLM

Suffix

Business Name

LARRY JOHN WIKHOLM MD

Original Issue Date

09/16/1969

Effective Date

09/16/1969

City

MT. PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006