THOMAS G WALLENDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052100

License Status

NOT RENEWED

Business

First Name

THOMAS G

Last Name

WALLENDER

Suffix

Business Name

THOMAS G WALLENDER MD

Original Issue Date

11/14/1975

Effective Date

11/14/1975

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006