REBECCA MARY WANKUM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100434

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

MARY

Last Name

WANKUM

Suffix

Business Name

REBECCA MARY WANKUM DO

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

07/31/2002

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/13/2009