BARRY GLENN WILLENS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069414

License Status

INACTIVE

Business

First Name

BARRY GLENN

Last Name

WILLENS

Suffix

Business Name

BARRY GLENN WILLENS MD

Original Issue Date

09/04/1984

Effective Date

09/04/1984

Expiration Date

07/31/1987

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006