CARL E WYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049858

License Status

NOT RENEWED

Business

First Name

CARL E

Last Name

WYNE

Suffix

Business Name

CARL E WYNE MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/1984

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006