BENEDICTA ULEP WREN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045400

License Status

INACTIVE

Business

First Name

BENEDICTA

Middle

ULEP

Last Name

WREN

Suffix

Business Name

BENEDICTA ULEP WREN MD

Original Issue Date

02/04/1972

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020