THEODORE M WYNNYCHENKO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100119

License Status

ACTIVE

Business

First Name

THEODORE

Middle

Last Name

WYNNYCHENKO

Suffix

Business Name

THEODORE M WYNNYCHENKO MD

Original Issue Date

04/29/1999

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

04/24/2023