WAYNE HENRY WIRTZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053051

License Status

INACTIVE

Business

First Name

WAYNE HENRY

Last Name

WIRTZ

Suffix

Business Name

WAYNE HENRY WIRTZ MD

Original Issue Date

06/15/1976

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020