ALAN D WAMBOLDT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069316

License Status

INACTIVE

Business

First Name

ALAN D

Last Name

WAMBOLDT

Suffix

Business Name

ALAN D WAMBOLDT MD

Original Issue Date

08/20/1984

Effective Date

08/20/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006