DANIEL E WACHENHEIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101177

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

WACHENHEIM

Suffix

Business Name

DANIEL E WACHENHEIM MD

Original Issue Date

09/01/1999

Effective Date

09/01/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006