KENT EMERSON WALLNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066144

License Status

NOT RENEWED

Business

First Name

KENT EMERSON

Last Name

WALLNER

Suffix

Business Name

KENT EMERSON WALLNER MD

Original Issue Date

03/03/1983

Effective Date

03/03/1983

Expiration Date

07/31/1984

City

HAZELCREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006